Derek Bullen

NPI #1710213772 in Heathrow, Florida

Provider Information

NPI Number
1710213772
Entity Type
Individual
Name
Derek Bullen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Oct 27, 2009
Last Updated
Oct 27, 2009

Practice Location

Address
1485 INTERNATIONAL PKWY
State
Florida
ZIP Code
32746-5303
Phone
(800) 798-6035

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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