Organization
FULTZ PHYSICAL THERAPY AND JOINT REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FULTZ P.T. (P.T./OWNER)
(318) 606-5262
Entity
Organization
Contact information
Practice address
9462 ELLERBE RD STE 200, SHREVEPORT, LA 71106-7466
(318) 606-5262
(318) 402-0802
Mailing address
9462 ELLERBE RD STE 200, SHREVEPORT, LA 71106-7466
(318) 606-5262
(318) 402-0802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952790917
NPI
—
Enumeration date
10/16/2018
Last updated
07/12/2023
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