Individual
JOSHUA BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3225 W GORDON AVE STE 3, LAYTON, UT 84041-5728
(801) 497-0800
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12024536-2401
UT
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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