Individual
MRS. LYNETTE KAY COLYER FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3100 W WARNER AVE, SANTA ANA, CA 92704-5331
(714) 545-8946
Mailing address
2013 W CHERRY AVE, FULLERTON, CA 92833-3601
(714) 870-7570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2368
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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