Doctor Name: | DR. AMY N BULLOCK |
NPI Number: | 1285067504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, ATC |
License Number: | 14397 |
Business Practice Address: | 640 Summit Crossing Pl 208 Gastonia, NC - 280542138 |
Business Phone Number: | 7046715730 |
Business Fax Number: | 7046715750 |
Mailing Address: | 640 Summit Place Crossing, Suite 208 GASTONIA |
State: | NC |
Postal Code: | 280543326 |
Phone Number: | 7046715730 |
Fax Number: | 7046715750 |
NPI Enumeration Date: | 08/11/2013 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 14397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |