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Heidi Fullerton, MSPT
NPI 1972762219 · on the registry since 2008 · sole proprietor
Practice
- Address
- 899 Cecil Ave S
Millersville, MD 21108 - Phone
- (410) 987-1644
- Organisation at this address
- Knollwood Manor, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland