Individual
JUSTIN ALEXANDER BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
750 E KING ST, LANCASTER, PA 17602-3113
(716) 499-4516
Mailing address
2312 NEW HOLLAND PIKE, LANCASTER, PA 17601-5934
(716) 499-4516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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