Individual
CHELSEA MOORE FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5088 66TH ST N, SAINT PETERSBURG, FL 33709-3120
(727) 541-2675
Mailing address
7000 W CAMINO REAL, SUITE 240, BOCA RATON, FL 33433-5532
(561) 417-9563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19226
FL
Other
Enumeration date
10/29/2008
Last updated
08/17/2010
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