Individual
AIMEE MARIE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 W GENESEE ST, FRANKENMUTH, MI 48734-1316
(800) 513-5641
Mailing address
6551 PARK OF COMMERCE BLVD, BOCA RATON, FL 33487-8218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016266
MI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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