Individual
JULIE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WISCONSIN LOOP, PASCAGOULA, MS 39568
(228) 935-8861
Mailing address
75 WISCONSIN LOOP, PASCAGOULA, MS 39568
(228) 935-8861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT573
MS
Other
Enumeration date
03/04/2021
Last updated
01/27/2025
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