MR. Michelle Lea Fulk

NPI #1063621498 in Beloit, Wisconsin

Provider Information

NPI Number
1063621498
Entity Type
Individual
Name
MR. Michelle Lea Fulk
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
May 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2530 SHADY LN
City
Beloit
ZIP Code
53511-7029
Phone
(608) 361-9881

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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