Individual
CASSIE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 W MAIN ST, WALNUT RIDGE, AR 72476-1849
(870) 974-9114
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2246
AR
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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