Leah K. Bullard in Gulf Breeze - Physical Therapy Assistant

Leah K. Bullard - NPI 1104096114

Leah K. Bullard is a Physical Therapy Assistant in Gulf Breeze, Florida. Leah K. Bullard practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Leah K. Bullard is 1104096114. The last update date is 2008-03-05.

Leah K. Bullard's current location address is 1153 Gulf Breeze Pkwy, Gulf Breeze, Florida. You can contact this provider via phone number 8509326382 and fax number 8509329215. The mailing address for Leah K. Bullard is 1153 Gulf Breeze Pkwy, Gulf Breeze, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Leah K. Bullard
Address 1153 Gulf Breeze Pkwy, Gulf Breeze, Florida
Phone Number 8509326382
Fax Number 8509329215
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1104096114
Provider Enumeration Date 2008-03-05
Last Updated Date 2008-03-05

Provider Mailing Address Detail

Address 1153 Gulf Breeze Pkwy
City Gulf Breeze
State Florida (FL)
Post Code 325614835
Phone Number 8509326382
Fax Number 8509329215

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA20606
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Leah K. Bullard

What is the unique identifier code issued to Leah K. Bullard by the Centers for Medicare & Medicaid Services (CMS)?

The Leah K. Bullard has been assigned the NPI (National Provider Identifier) 1104096114. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Leah K. Bullard is physically located?

The Leah K. Bullard is physically situated at the following address: 1153 Gulf Breeze Pkwy, Gulf Breeze, FL, 325614835.

What is the Leah K. Bullard's specialty and taxonomy code?

The Leah K. Bullard's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did Leah K. Bullard receive its 1104096114 assignment from the Centers for Medicare & Medicaid Services?

The Leah K. Bullard was assigned its 1104096114 on 2008-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Leah K. Bullard's details last updated?

The information pertaining to the Leah K. Bullard, including its address, specialty, and other details, was most recently updated on 2008-03-05.

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