Individual
MRS. BARBARA ANN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1206 E 9TH ST, SUITE 160, LOCKPORT, IL 60441-2404
(815) 834-8700
(815) 838-1405
Mailing address
1206 E 9TH ST, SUITE 160, LOCKPORT, IL 60441-2404
(815) 834-8700
(815) 838-1405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.008673
IL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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