Individual
DR. LOUIS JACOB FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2010 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-3847
(937) 291-3160
Mailing address
152 MCDANIELS LN, SPRINGBORO, OH 45066-8550
(419) 953-5920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016995
OH
Other
Enumeration date
06/07/2017
Last updated
04/09/2025
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