Individual
RYAN E FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
2140 BABCOCK RD, SAN ANTONIO, TX 78229-4424
(210) 614-7953
Mailing address
1240 BABCOCK RD, SUITE 130, SAN ANTONIO, TX 78229
(210) 614-7953
(210) 614-4190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159173
TX
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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