Leah K. Bullard PTA

NPI 1104096114 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1104096114
Gender Female
Enumeration Date 03/05/2008
Last Updated 03/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5855 CREEK STATION DR
PENSACOLA FL, 32504-8626, US
Phone (850) 477-6966
Fax (850) 477-0267
Business Location
1153 GULF BREEZE PKWY
GULF BREEZE FL, 32561-4835, US
Phone (850) 932-6382
Fax (850) 932-9215
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA20606
Remove 1104096114 NPI Number
 

According to our database, Mrs. Leah K. Bullard PTA NPI is 1104096114, taxonomy code is 225200000X and license number is PTA20606, license state is located at Florida. Leah K. Bullard PTA physically located at 5855 Creek Station Dr, Pensacola FL, 32504-8626. NPI Number Leah K. Bullard PTA has the Individual type.

Sponsored links

1104096114 NPI number is provided on an as is basis without warranty of any kind. 1104096114 is maintained by the National Plan & Provider Enumeration System. The contents of Leah K. Bullard PTA are for informational purposes only.