Individual
MICHEL R FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
27031 N 93RD ST, SCOTTSDALE, AZ 85262-9036
(480) 329-8577
Mailing address
27031 N 93RD ST, SCOTTSDALE, AZ 85262-9036
(480) 329-8577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1714
AZ
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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