Individual
JACLYN BULLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1854 AUBURN RD STE 101, DACULA, GA 30019-1130
(770) 904-6009
(770) 904-2357
Mailing address
1854 AUBURN RD STE 101, DACULA, GA 30019-1130
(770) 904-6009
(770) 904-2357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018136
GA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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