Individual
CHELSEA BULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7725 W SANDS DR, PEORIA, AZ 85383-3126
(623) 418-3464
Mailing address
7725 W SANDS DR, PEORIA, AZ 85383-3126
(623) 418-3464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6117
AZ
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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