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1649735853
KAITLYN BULLOCK
MANCHESTER, KY
NPI
1649735853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A03188)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
KAITLYN BULLOCK PTA
485 MEMORIAL DR STE 2
MANCHESTER, KY 40962-9111
Phone number: 606-599-1709
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Mailing Address
KAITLYN BULLOCK PTA
1223 HOOKER RD
MANCHESTER, KY 40962-8132
Phone number:
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