Organization
FULCO AND HALL PERFORMANCE AND THERAPY LLC
Active
Other names
FHPT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R FULCO PT, DPT, CERT. DN (OWNER, PHYSICAL THERAPIST)
(318) 754-7367
Entity
Organization
Contact information
Practice address
172 HERITAGE STE K, BROUSSARD, LA 70518-8046
(337) 214-1244
(866) 825-4104
Mailing address
6123 KATELAND CIR, BOSSIER CITY, LA 71111-6988
(318) 754-7367
(337) 247-9404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
10/29/2024
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