Individual
MELINDA ANNE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5301 SIBLEY CT, COLUMBIA, MO 65203-9766
(573) 999-0464
Mailing address
5301 SIBLEY CT, COLUMBIA, MO 65203-9766
(573) 999-0464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104970
MO
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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