-- JAIMIE FULKS --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1649484999- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 225 1ST AVE NE, OSSEO, MN, 553691201
- Phone
- (763) 424-0534
Specialties & Taxonomies
Physical Therapy Assistant
Primary
All Addresses
MAILING
8795 HASTINGS CIR NE
BLAINE, MN, 554494508