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Individual

LINDA CAROLINE BULLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
610 E CLARK BLVD, MURFREESBORO, TN 37130-2121
(615) 849-8550
(615) 849-8447
Mailing address
419 FIVE OAKS BLVD, LEBANON, TN 37087-1353
(615) 305-4710
(615) 453-3684

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002693
TN

Other

Enumeration date
11/15/2011
Last updated
11/15/2011
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