Individual
BILL JOE FULLEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2405 N COLUMBUS ST STE 120, LANCASTER, OH 43130-8189
(740) 687-3346
(740) 689-9736
Mailing address
2405 N COLUMBUS ST STE 120, LANCASTER, OH 43130-8189
(740) 687-3346
(740) 689-9736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017529
OH
225100000X
Physical Therapist
PT296443
CA
2251X0800X
Orthopedic Physical Therapist
PT017529
OH
Other
Enumeration date
06/27/2018
Last updated
02/10/2020
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