Lisa L Fulton
Physical Therapist Physical Therapist - Pediatrics
6202 Cerulean Ave
Garden Grove
, California 92845-2756
Lisa L Fulton
Physical Therapist Physical Therapist - Pediatrics
6202 Cerulean Ave
Garden Grove
, California 92845-2756
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Lisa L Fulton
- 6202 Cerulean Ave
- Garden Grove, CA
- Zip : 92845-2756
- Phone :
Second Address
- Lisa L Fulton
- 6202 Cerulean Ave
- Garden Grove, CA
- Zip : 92845-2756
- Phone : (714) 347-0300
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Is Lisa L Fulton accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT15269 | CA |
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT15269 | CA |
National Provider Identifier
| NPI | 1033152566 |
|---|---|
| Provider Name | Lisa L Fulton |
| First Address | Garden Grove, CA 92845-2756 |
| Second Address | Garden Grove, CA 92845-2756 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 11/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.