Andrew Bullock
Physical Therapist in Fishers, IN. Individual provider (NPI-1).
NPI number1902467707
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1902467707
- Entity type
- Individual (NPI-1)
- Name
- Andrew Bullock
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2019
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05010852A | IN | Yes |
Practice location
8890 E 116th St Ste 130Fishers, IN 46038-2856
Phone 317-621-6740
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
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