Individual
MRS. AMY PAULINE FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
433 S KINZER AVE, NEW HOLLAND, PA 17557-9468
(215) 932-8075
Mailing address
89 GRAYSON AVE, EAST EARL, PA 17519-9279
(215) 932-8075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007337L
PA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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