Bullock, Wanda Mae
Bullock, Wanda Mae is an individual health care provider with primary practice located at Troy Road , Washington IN 47501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bullock, Wanda Mae can be contacted via phone (812) 254-8500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 06000569A | Indiana |
Profile Details
| NPI number | 1891015624 |
|---|---|
| LBN Legal business name | Bullock, Wanda Mae |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Jun 3rd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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