Individual
JANET LUANN FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1126 S 70TH ST, WEST ALLIS, WI 53214-3151
(414) 456-2331
(414) 456-2339
Mailing address
6244 N DENMARK ST, MILWAUKEE, WI 53225-1613
(414) 353-6589
(414) 456-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2847-024
WI
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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