Individual
ANDREA N BULTEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9200 CALUMET AVE STE 502, MUNSTER, IN 46321-2885
(219) 853-4632
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014890A
IN
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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