Individual
MARTEAL FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 SHADY VIEW LN, KNOXVILLE, TN 37922-7137
(865) 292-3943
Mailing address
10001 SHADY VIEW LN, KNOXVILLE, TN 37922-7137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000008107
TN
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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