| Doctor Name: | MR. WALTER T FULA |
| NPI Number: | 1275795536 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT18285 |
| Business Practice Address: | 3663 East Arch Road Suite 400 Stockton, CA - 95215 |
| Business Phone Number: | 2099432202 |
| Business Fax Number: | 2099432209 |
| Mailing Address: | 1229 Brighton Ave Apt 263, MODESTO |
| State: | CA |
| Postal Code: | 953556105 |
| Phone Number: | 2095724675 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT18285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |