NICHOLAS R FULCO

SHREVEPORT, LA
NPI1760006803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10556)
Enumeration Date2020-06-04
Last Update Date2025-08-20
Business Address
Dr. NICHOLAS R FULCO DPT
502 ANDERSON AVE
SHREVEPORT, LA 71104-3602
Phone number: 318-200-0386
Mailing Address
Dr. NICHOLAS R FULCO DPT
6123 KATELAND CIR
BOSSIER CITY, LA 71111-6988
Phone number: 318-754-7367