Individual provider · Type 1 NPI

Edward A. Fulghum, PTA

Physical Therapy Assistant · Smithfield, NC

NPI number 1043799208 Active

Practice location

509 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

1209 Peele Rd
Clayton, NC 27520-6863

Other practice locations

  • 902 Berkshire Rd, Smithfield, NC 27577-4731 · (919) 934-3171

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5326 (NC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1043799208

Edward A. Fulghum, PTA's National Provider Identifier is 1043799208, issued on Aug 8, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Smithfield, NC. The record was last updated on Aug 8, 2018.