Joe W Fuller, PT

NPI #1417912403 in Torrington, Wyoming

Provider Information

NPI Number
1417912403
Entity Type
Individual
Name
Joe W Fuller, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Apr 20, 2006
Last Updated
Nov 21, 2007

Practice Location

Address
1301 E M ST
Address 2
STE B
State
Wyoming
ZIP Code
82240-3521
Phone
(307) 532-4694

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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