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Individual
KAITLIN MARY FULTON
Active
Individual
KAITLIN MARY FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT028351
PA
2255A2300X
Athletic Trainer
Primary
004955
NY
2255A2300X
Athletic Trainer
RT008198
PA
Other
Enumeration date
05/22/2020
Last updated
07/29/2025
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