Individual
AMY CAROLYN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 GLENWOOD DR, MOORESVILLE, NC 28115-2876
(704) 664-7494
(704) 664-8454
Mailing address
200 NORTHPOINTE CIR, SEVEN FIELDS, PA 16046-7861
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8814
NC
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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