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Stacy Dawn Fulcher, PTA

Physical Therapy Assistant in Langhorne, PA. Individual provider (NPI-1).

NPI number1700525698
StatusActive
Last updated in NPPESMay 31, 2022

Details

NPI
1700525698
Entity type
Individual (NPI-1)
Name
Stacy Dawn Fulcher
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2022
Certification date
May 24, 2022
Last updated
May 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantTE012764PAYes

Practice location

262 Tollgate Rd
Langhorne, PA 19047-1377

Phone 215-968-4650

Mailing address

1016 Grand Ridge Dr
Rolesville, NC 27571-9527

Phone 757-349-4728

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Other Physical Therapy Assistant providers in Langhorne, PA

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