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Individual

DR. AMY N BULLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
10000 PINEVILLE MATTHEWS RD, PINEVILLE, NC 28134-7552
(980) 272-8044
Mailing address
10000 PINEVILLE MATTHEWS RD, PINEVILLE, NC 28134-7552
(980) 272-8044

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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