Individual
SUSAN CAREY-BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
(989) 772-9454
Mailing address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
(989) 772-9454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002865
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235490
—
MI
Enumeration date
06/19/2014
Last updated
06/19/2014
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