Jared Pulliam

NPI #1366911257 in Rawlins, Wyoming

Provider Information

NPI Number: 1366911257
Entity Type: Individual
Name: Jared Pulliam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 20, 2018
Last Updated: Jul 18, 2019

Practice Location

Address: 542 16TH ST
City: Rawlins
State: Wyoming
ZIP Code: 82301-5241
Phone: (307) 324-2759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Gerontology — Gerontology	225XG0600X
Occupational Therapist	225X00000X	Primary

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