Individual
MISS KARLA KAY BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1488 SPIRO RD, MOUNT VERNON, KY 40456-6316
(606) 308-2105
Mailing address
1488 SPIRO RD, MOUNT VERNON, KY 40456-6316
(606) 308-2105
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
132789
KY
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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