Ashley Bullock, OT
NPI #1215354998 in Byram, Mississippi
Provider Information
- NPI Number
- 1215354998
- Entity Type
- Individual
- Name
- Ashley Bullock, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- OT
- Enumeration Date
- Mar 19, 2014
- Last Updated
- Mar 19, 2014
Practice Location
- Address
- 7213 S SIWELL RD
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272-9776
- Phone
- (601) 346-9191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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