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Individual

CHRIS-ANN FULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3724
Mailing address
10 LOUIS RD, TEWKSBURY, MA 01876-1223
(978) 851-7471

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2833
MA

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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