Individual
MRS. KRYSTYN DUNN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD, SUITE 225, ATLANTA, GA 30342-1703
(404) 835-3340
Mailing address
6950 SENTARA PL, ALPHARETTA, GA 30005-3009
(410) 960-4600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005561
GA
Other
Enumeration date
05/20/2010
Last updated
03/16/2019
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