Doctor Name: | MR. ANTHONY JOHN BULLEN |
NPI Number: | 1427061159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT19361 |
Business Practice Address: | 1100 S Main St Suite 103 Belle Glade, FL - 334304910 |
Business Phone Number: | 5619968086 |
Business Fax Number: | 5619962905 |
Mailing Address: | 141 Sw 94th Ter, PLANTATION |
State: | FL |
Postal Code: | 333242431 |
Phone Number: | 9547010528 |
Fax Number: | 9544736021 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |