Individual
JOE W FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1301 E M ST, STE B, TORRINGTON, WY 82240-3521
(307) 532-4694
(307) 532-7241
Mailing address
1301 E M ST, STE B, TORRINGTON, WY 82240-3521
(307) 532-4694
(307) 532-7241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT298
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F232037
MIDLANDS CHOICE
—
Enumeration date
04/20/2006
Last updated
11/21/2007
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