Individual
CASEY LEANN SOILEAU BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
103 DAVIS RD STE M, LEAGUE CITY, TX 77573-2769
(281) 338-6777
Mailing address
103 DAVIS RD STE M, LEAGUE CITY, TX 77573-2769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1305288
TX
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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