Nathan Thomas Fullam, DPT Valid NPI
Individual provider · Physical Therapist · West Berlin, NJ
- NPI
- 1265101935
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 40QA02040500 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-09-07
- Last updated
- 2021-09-07
Practice location
115 N Route 73 Unit 80
West Berlin, NJ 08091-9202
(856) 335-4938