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Individual
ROBERT W FULTON
Active
Individual
ROBERT W FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1209-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36103300
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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