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Timothy Fullmer, MSPT
NPI 1104989268 · on the registry since 2006 · sole proprietor
Practice
- Address
- 150 Broad St
Waverly, NY 14892 - Phone
- (607) 687-2495
- Organisation at this address
- Guthrie Clinic Ltd
Guthrie Medical Group, P.C.
Guthrie Specialty Physicians, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-26
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 New York