Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DUSTIN C FULLAWAY, PT
Active Sole ProprietorPhysical Therapy Assistant · SPRING LAKE, NJ
Registration Details
- NPI Number
- 1346553807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2010 (15.770173725207 yrs)
- Last Updated
- Jul 26, 2010
- License
-
40QA01355900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1325 WARREN AVESUITE 5SPRING LAKE, NJ, 077622566Browse NJ providers · Browse ZIP 07762
- Phone
- 7324497855
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SPRING LAKE, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN SCOTT SIMON | PT | 1255363255 |
| MRS. EILEEN GURGONE | DPT | 1942227400 |
| DR. BRIAN BRATERIS | DPT | 1932524667 |
| BRYAN T NADROWSKI | DPT | 1043737059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.