Individual
MS. DIANE MARIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 306, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-1230
(847) 437-9023
Mailing address
901 BIESTERFIELD RD, SUITE 306, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-1230
(847) 437-9023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018604
IL
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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