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Individual

MRS. JULIA A BULATOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AX812X
MEDICARE INDIVIDUAL PTAN LINKED TO DT
CA
01
AX812Y
MEDICARE PTAN
CA
01
P00662183
RAILROAD MEDICARE PTAN
CA
01
ZZZ21295Z
MEDICARE GROUP PTAN
CA
01
ZZZ21296Z
MEDICARE GROUP PTAN
CA
01
ZZZ21297Z
MEDICARE GROUP PTAN
CA
Enumeration date
05/03/2006
Last updated
05/04/2020
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