LARRY FULLMER
Physical Therapist
Active
Individual
NPI: 1821075912
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 114098-2401 (UT) |
Frequently Asked Questions
NPI 1821075912 is the National Provider Identifier for LARRY FULLMER, a Physical Therapist provider located in Sandy, UT. This NPI was enumerated on December 29, 2005.
LARRY FULLMER practices at 9720 S 1300 E, #W200, Sandy, UT 84094.
Quick Facts
- NPI
- 1821075912
- Type
- Individual
- Enumerated
- Dec 29, 2005
- Last Updated
- Feb 14, 2014
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