Provider Demographics
NPI:1235377011
Name:FULTON, KATIE E (DPT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:E
Last Name:FULTON
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:200 CLEAVER FARM RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1630
Mailing Address - Country:US
Mailing Address - Phone:302-449-2048
Mailing Address - Fax:302-449-2047
Practice Address - Street 1:97 COMMERCE WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7794
Practice Address - Country:US
Practice Address - Phone:304-724-6344
Practice Address - Fax:302-449-2047
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2011-11-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist