Professional Records
License Records
Carly D Fultz
Address:
106 San Lorenzo Ct, Bradenton, FL
6400 Edgelake Dr, Sarasota, FL
Phone:
(941) 961-0645
License #:
23455 - Active
Category:
Health Care
Issued Date:
Jul 27, 2012
Effective Date:
Jul 27, 2012
Expiration Date:
Nov 30, 2017
Type:
Physical Therapist Assistant