Individual
MR. NOLAND ALLEN BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Mailing address
505 OAKWOOD DR, VICKSBURG, MS 39180-5445
(601) 786-1124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4944
MS
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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