Individual
DR. HOLLY MICHAELA BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
372 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 272-7333
Mailing address
372 RACETRACK RD, MCDONOUGH, GA 30252-1022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008436
GA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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