Individual
EMILY BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2075 PLEASANT PLAINS EXT RD, JACKSON, TN 38305-6087
(731) 984-7098
(731) 300-4405
Mailing address
2075 PLEASANT PLAINS EXT RD, JACKSON, TN 38305-6087
(731) 984-7098
(731) 300-4405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5877
TN
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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