Ernest Bullock JR., COTA
NPI #1407509094 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1407509094
- Entity Type
- Individual
- Name
- Ernest Bullock JR., COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Feb 2, 2022
- Last Updated
- Feb 2, 2022
Practice Location
- Address
- 800 W BROADWAY ST
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-2912
- Phone
- (870) 735-5174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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