Individual
MEGAN RENEE FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 277-3977
Mailing address
28526 ALESSANDRIA CIR, BONITA SPRINGS, FL 34135-8273
(313) 303-4740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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