Individual
PAULINA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3180 PROFESSIONAL PLZ STE 101, GERMANTOWN, TN 38138-1534
(901) 328-2110
Mailing address
4081 ROBINSON XING, OLIVE BRANCH, MS 38654-8138
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7745
TN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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