Organization
FULLINGTON PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN M FULLINGTON DPT (OWNER)
(262) 364-9221
Entity
Organization
Contact information
Practice address
8500 MARYLAND AVE APT 513, SAINT LOUIS, MO 63124-2318
(262) 364-9221
Mailing address
8500 MARYLAND AVE APT 513, SAINT LOUIS, MO 63124-2318
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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