Individual
MEGAN FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5435 BEAVERKILL RD, COLUMBIA, MD 21044-2359
(410) 740-0883
(410) 740-9970
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27853
MD
Other
Enumeration date
02/10/2020
Last updated
09/21/2020
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