Individual
MR. DAVID FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6613 W 550 N, WABASH, IN 46992-7609
(765) 833-2178
(765) 833-2178
Mailing address
6613 W 550 N, WABASH, IN 46992-7609
(765) 833-2178
(765) 833-2178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006520A
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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