Individual
DR. AMY N BULLOCK
Active
Individual
DR. AMY N BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8978
SC
225100000X
Physical Therapist
Primary
P14397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12594991
INDIVIDUAL NPI
—
Enumeration date
08/11/2013
Last updated
04/24/2025
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