Individual
MRS. AMY GLOGER FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2082 SARNO RD, MELBOURNE, FL 32935-3074
(321) 255-2818
(321) 255-4901
Mailing address
1110 ASHLYN DR, MELBOURNE, FL 32904-1940
(321) 403-2204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20631
FL
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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