Individual
FAITH REBECCA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
165 MAIN ST, ONEIDA, NY 13421-1648
(315) 363-3389
(315) 363-9286
Mailing address
701 LENOX AVE, ONEIDA, NY 13421-1500
(315) 363-3389
(315) 363-9286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11680
NY
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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