Individual
HEATHER FULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10302 PROSPERITY CIR STE 101, CAMBY, IN 46113-9002
(317) 548-4172
(317) 548-8308
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011172A
IN
Other
Enumeration date
04/14/2014
Last updated
10/16/2018
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