Individual
MS. TAMIE LEE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKEE, WI 97222
(971) 206-5129
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKEE, WI 97222
(971) 206-5129
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6084
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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