Individual
STACY DAWN FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
262 TOLLGATE RD, LANGHORNE, PA 19047-1377
(215) 968-4650
Mailing address
1016 GRAND RIDGE DR, ROLESVILLE, NC 27571-9527
(757) 349-4728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012764
PA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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