Individual
DONALD MILTON BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
610 E CLARK BLVD, MURFREESBORO, TN 37130-2121
(615) 849-8550
(615) 849-8447
Mailing address
419 FIVE OAKS BLVD, LEBANON, TN 37087-1353
(615) 305-4710
(615) 453-3684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002695
TX
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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