Individual
BRIAN J FULLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4453 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-7722
(740) 775-7732
Mailing address
118 VICTORIA LN, PIKETON, OH 45661-8077
(740) 289-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7398
OH
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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