Individual
RANDI BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12739 HIGHWAY 171 STE B, LONGVILLE, LA 70652-5050
(337) 317-9290
Mailing address
12739 HIGHWAY 171 STE B, LONGVILLE, LA 70652-5050
(337) 317-9290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
04/25/2024
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