| Doctor Name: | COLLEEN ELIZABETH FULLER |
| NPI Number: | 1902865249 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 40QA01017700 |
| Business Practice Address: | 200 Route 57 Suite 1 Phillipsburg, NJ - 08865 |
| Business Phone Number: | 9083871277 |
| Business Fax Number: | 9083871280 |
| Mailing Address: | 35 Limerick Lane, PHILLIPSBURG |
| State: | NJ |
| Postal Code: | 08865 |
| Phone Number: | 9082130980 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01017700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |