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LYNDSIE SUE FULLER OT

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1568024966

Individual Registrant:
 LYNDSIE SUE FULLER OT
Gender: F
Sole Proprietor

Location and contact information for practice:
669 SUNRISE ST  GUERNSEY, WY 82214 US
Tel: 307-836-2444  Fax: --

Contact information for business:
PO BOX 1790  DOUGLAS, WY 82633-1790 US
Tel: --  Fax: --

Registration Information:
NPI: 1568024966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
WY1410

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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