Individual
BROOKLYN RUTH FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
334 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-2024
(417) 461-0952
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023034168
MO
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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