Individual
MS. TONYIA LEE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10150 W NATIONAL AVE, SUITE 150, MILWAUKEE, WI 53227-2145
(866) 458-2337
Mailing address
10150 W NATIONAL AVE, SUITE 150, MILWAUKEE, WI 53227-2145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1047-19
WI
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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