Individual
CRAIG CLARKE ULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
66 STANLEY ST, MOUNT MORRIS, NY 14510-1435
(585) 658-9280
Mailing address
3506 THOMAS DRIVE, LAKEVILLE, NY 14480
(585) 346-0060
(585) 346-0108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017728
NY
Other
Enumeration date
01/15/2007
Last updated
06/20/2018
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