WANDA MAE BULLOCK

WASHINGTON, IN
NPI1891015624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06000569A)
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
Mrs. WANDA MAE BULLOCK PTA
TROY ROAD
WASHINGTON, IN 47501
Phone number: 812-254-8500
Mailing Address
Mrs. WANDA MAE BULLOCK PTA
TROY ROAD
WASHINGTON, IN 47501
Phone number: 812-254-9500