Joseph Bryan Bullard, PT

NPI #1265721815 in Conway, South Carolina

Provider Information

NPI Number: 1265721815
Entity Type: Individual
Name: Joseph Bryan Bullard, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 5, 2011
Last Updated: Apr 5, 2011

Practice Location

Address: 914 NORMAN ST
City: Conway
State: South Carolina
ZIP Code: 29526-5166
Phone: (843) 477-0177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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