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Individual

KATIE FULMER DACHENHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
(706) 823-3960
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3960

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009964
GA

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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