Individual
ANITA M. FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3 MERIT DR, RICHMOND HTS, OH 44143-1457
(216) 261-9600
Mailing address
8071 BEECHWOOD DR, KIRTLAND, OH 44094-5116
(440) 256-8964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00167
OH
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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