Individual
MR. DAVID A BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
214 ASH ST, GRANDVIEW, WA 98930-1319
(509) 882-3111
(509) 882-3362
Mailing address
7201 W CLEARWATER AVE, SUITE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089956
—
WA
Enumeration date
10/19/2006
Last updated
12/07/2011
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