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Organization
FULCO AND HALL PERFORMANCE AND THERAPY LLC
Active
Organization
FULCO AND HALL PERFORMANCE AND THERAPY LLC
Active
Other names
FHPT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R FULCO PT, DPT, CERT. DN (OWNER, PHYSICAL THERAPIST)
(318) 754-7367
Entity
Organization
Contact information
Practice address
172 HERITAGE STE K, BROUSSARD, LA 70518-8046
(337) 214-1244
(866) 825-4104
Mailing address
6123 KATELAND CIR, BOSSIER CITY, LA 71111-6988
(318) 754-7367
(337) 247-9404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
10/29/2024
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