Individual
DR. CHRISTOPHER FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
820 JORDAN ST STE 150, SHREVEPORT, LA 71101-4529
(318) 222-7442
Mailing address
10028 SAINT BERNARD DR, SHREVEPORT, LA 71106-8544
(318) 218-8123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08637
LA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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