Gregory Alan Fulling, MS PT

NPI #1235307000 in Shelton, Washington

Provider Information

NPI Number: 1235307000
Entity Type: Individual
Name: Gregory Alan Fulling, MS PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MS PT
Enumeration Date: Feb 14, 2008
Last Updated: Feb 2, 2015

Practice Location

Address: 2142 W RAILROAD AVE
Address 2: SUITE A
City: Shelton
State: Washington
ZIP Code: 98584-7813
Phone: (360) 426-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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