Doctor Name: | MRS. BARBARA ANN FULLER |
NPI Number: | 1760712210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070.008673 |
Business Practice Address: | 1206 E 9th St Suite 160 Lockport, IL - 604412404 |
Business Phone Number: | 8158348700 |
Business Fax Number: | 8158381405 |
Mailing Address: | 1206 E 9th St, Suite 160 LOCKPORT |
State: | IL |
Postal Code: | 604412404 |
Phone Number: | 8158348700 |
Fax Number: | 8158381405 |
NPI Enumeration Date: | 01/06/2010 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.008673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |