Individual
MR. ANTHONY JOHN BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1100 S MAIN ST, SUITE 103, BELLE GLADE, FL 33430-4910
(561) 996-8086
(561) 996-2905
Mailing address
141 SW 94TH TER, PLANTATION, FL 33324-2431
(954) 701-0528
(954) 473-6021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19361
FL
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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