| Doctor Name: | JOSEFINA DUMAGAT FULLERTON |
| NPI Number: | 1942405030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT11716 |
| Business Practice Address: | 2770 Regency Oaks Blvd Clearwater, FL - 337591509 |
| Business Phone Number: | 7277911500 |
| Business Fax Number: | |
| Mailing Address: | 1406 Ambassador Dr, CLEARWATER |
| State: | FL |
| Postal Code: | 337642522 |
| Phone Number: | 7275246955 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT11716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |