KATHY BULLOCK

SOUTH OGDEN, UT
NPI1255626388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  5597738-2402)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
-- KATHY BULLOCK
5974 FASHION POINT DR STE 100
SOUTH OGDEN, UT 84403-4699
Phone number: 801-479-9644
Mailing Address
-- KATHY BULLOCK
1892 W 1590 S
WOODS CROSS, UT 84087-2474
Phone number: 801-913-5879