Individual
MYRA D. BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., C.S.T.
Contact information
Practice address
8015 ROD LAVER AVE, BATON ROUGE, LA 70810
(504) 495-6855
(225) 767-0423
Mailing address
8015 ROD LAVER AVE, BATON ROUGE, LA 70810
(504) 495-6855
(225) 767-0423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA00619
LA
Other
Enumeration date
11/16/2006
Last updated
05/01/2017
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