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Individual

CLARISSA NICOLE BULATEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
11550 COMMON OAKS DR, SUITE 100, RALEIGH, NC 27614-7298
(919) 453-5740
(919) 453-5741
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12562
NC

Other

Enumeration date
01/02/2008
Last updated
02/01/2012
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