STEPHANIE ALLYSON BULLOCK

RIDGEWOOD, NY
NPI1215203518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  025989-1)
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
-- STEPHANIE ALLYSON BULLOCK
1715 WEIRFIELD ST ROOM 212
RIDGEWOOD, NY 11385-5351
Phone number: 718-628-0664
Mailing Address
-- STEPHANIE ALLYSON BULLOCK
1715 WEIRFIELD ST ROOM 212
RIDGEWOOD, NY 11385-5351
Phone number: 718-628-0664