Individual
ANDREW BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8890 E 116TH ST STE 130, FISHERS, IN 46038-2856
(317) 621-6740
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010852A
IN
Other
Enumeration date
06/24/2019
Last updated
06/22/2021
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