Individual
COURTNEY FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
159 W MAIN ST, NEWARK, OH 43055-5007
(740) 345-2837
(740) 345-4793
Mailing address
11177 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
(740) 763-0475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015014
OH
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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