Individual
BROOKLYN DANIELLE TUCKER BULLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6618 HIGHWAY 101, ROGERSVILLE, AL 35652-1926
(256) 810-8895
Mailing address
1931 CENTRAL PKWY SW, DECATUR, AL 35601-6848
(256) 309-0454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5012
AL
Other
Enumeration date
07/12/2021
Last updated
12/21/2023
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