Mary H Fulton, | |
189 W Mountain Top Rd, Summit Hill, PA 18250-1758 | |
(570) 645-5394 | |
Not Available |
Full Name | Mary H Fulton |
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Gender | Female |
Speciality | Physical Therapist |
Location | 189 W Mountain Top Rd, Summit Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588906259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT006854L (Pennsylvania) | Primary |
Provider Name | In Your Home Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588959761 PECOS PAC ID: 5294904256 Enrollment ID: O20110808000667 |
Mailing Address | Practice Location Address |
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Mary H Fulton, 189 W Mountain Top Rd, Summit Hill, PA 18250-1758 Ph: () - | Mary H Fulton, 189 W Mountain Top Rd, Summit Hill, PA 18250-1758 Ph: (570) 645-5394 |
Miss Marlene M Basiago, O.T.R./L.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 W Ludlow St, Summit Hill, PA 18250 Phone: 570-645-4001 Fax: 570-645-4001 | |
Helping Hand Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 W Ludlow St, Vermillion Professional Bldg, Summit Hill, PA 18250 Phone: 570-645-4001 Fax: 570-645-4001 |