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Tamie Fullerton, PTA
NPI 1629100607 · on the registry since 2007
Practice
- Address
- 4560 Se International Way
Suite 100 Consonus Healthcare Services
Milwaukee, WI 97222 - Phone
- (971) 206-5129
- Fax
- (971) 206-5209
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Wisconsin