Heather Bullock, MPT

NPI #1336742527 in Pearl, Mississippi

Provider Information

NPI Number: 1336742527
Entity Type: Individual
Name: Heather Bullock, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 3825 OLD BRANDON RD
City: Pearl
State: Mississippi
ZIP Code: 39208-4036
Phone: (601) 720-7206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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