Jaimie Fulks

NPI #1649484999 in Osseo, Minnesota

Provider Information

NPI Number: 1649484999
Entity Type: Individual
Name: Jaimie Fulks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 225 1ST AVE NE
City: Osseo
State: Minnesota
ZIP Code: 55369-1201
Phone: (763) 424-0534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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