Individual
MRS. KIM BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1608 E BROUSSARD RD, LAFAYETTE, LA 70508-7843
(337) 230-6032
Mailing address
1608 E BROUSSARD RD, LAFAYETTE, LA 70508-7843
(337) 230-6032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03261
LA
Other
Enumeration date
07/26/2005
Last updated
08/17/2010
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