Heidi Lynn Fullerton, MSPT

NPI #1972762219 in Millersville, Maryland

Provider Information

NPI Number
1972762219
Entity Type
Individual
Name
Heidi Lynn Fullerton, MSPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
MSPT
Enumeration Date
Jun 2, 2008
Last Updated
Jul 29, 2008

Practice Location

Address
899 CECIL AVE S
ZIP Code
21108-2111
Phone
(410) 987-1644

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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