Individual
JASON BULGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
5446 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Mailing address
105 W ROCKRIMMON BLVD APT 112, COLORADO SPRINGS, CO 80919-4031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006309
CO
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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