MR. Dustin C Fullaway, PT

NPI #1346553807 in Spring Lake, New Jersey

Provider Information

NPI Number
1346553807
Entity Type
Individual
Name
MR. Dustin C Fullaway, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 26, 2010
Last Updated
Jul 26, 2010

Practice Location

Address
1325 WARREN AVE
Address 2
SUITE 5
ZIP Code
07762-2566
Phone
(732) 449-7855

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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