Individual
DANIEL ROBERT FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7776 SR 655, SUITE D, REEDSVILLE, PA 17084
(717) 667-7607
(717) 667-7497
Mailing address
14330 CROGHAN PIKE, MOUNT UNION, PA 17066-8838
(814) 542-8630
(814) 542-2828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003615
PA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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