Jeremy Bullock, PT

NPI #1386906709 in Winnsboro, Texas

Provider Information

NPI Number: 1386906709
Entity Type: Individual
Name: Jeremy Bullock, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 12, 2012
Last Updated: Jun 12, 2012

Practice Location

Address: 209 E BROADWAY ST
City: Winnsboro
State: Texas
ZIP Code: 75494-2604
Phone: (903) 342-6790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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