Tonyia Lee Fulton PTA

NPI 1245670140 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245670140
Gender Female
Enumeration Date 06/25/2013
Last Updated 06/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
10150 W NATIONAL AVE
SUITE 150
MILWAUKEE WI, 53227-2145, US
Phone (866) 458-2337
Fax
Business Location
10150 W NATIONAL AVE
SUITE 150
MILWAUKEE WI, 53227-2145, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 1047-19
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According to our database, Ms. Tonyia Lee Fulton PTA NPI is 1245670140, taxonomy code is 225200000X and license number is 1047-19, license state is located at Wisconsin. Tonyia Lee Fulton PTA physically located at 10150 W National Ave, Milwaukee WI, 53227-2145. NPI Number Tonyia Lee Fulton PTA has the Individual type.

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1245670140 NPI number is provided on an as is basis without warranty of any kind. 1245670140 is maintained by the National Plan & Provider Enumeration System. The contents of Tonyia Lee Fulton PTA are for informational purposes only.