Individual
NICOLE M. FULLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1104 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2311
(732) 714-0070
Mailing address
41 ADAMSTON DR, BRICK, NJ 08723-8004
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01356100
NJ
Other
Enumeration date
07/14/2010
Last updated
08/30/2013
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