# FULCO AND HALL PERFORMANCE AND THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FHPT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114790177
- **Authorized official:** DR. NICHOLAS R FULCO PT, DPT, CERT. DN (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (318) 754-7367

## Contact information

- **Practice address:** 172 HERITAGE STE K, BROUSSARD, LA 70518-8046
- **Practice address phone:** (337) 214-1244
- **Practice address fax:** (866) 825-4104
- **Mailing address:** 6123 KATELAND CIR, BOSSIER CITY, LA 71111-6988
- **Mailing address phone:** (318) 754-7367
- **Mailing address fax:** (337) 247-9404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 10/29/2024