Individual
MRS. DAWN MARIA FULGHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2450 BICKERS ST, DALLAS, TX 75212-1507
(214) 879-0888
Mailing address
6804 STETTER DR, ARLINGTON, TX 76001-7561
(682) 560-1923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003042
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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