Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE WENONA BULLARD, PTA
Active Sole ProprietorMS. JACQUELINE WENONA BULLARD, PTA is a Occupational Therapist healthcare provider located in LOCKESBURG, Arkansas. NPI 1598246472 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LOCKESBURG, AR
Registration Details
- NPI Number
- 1598246472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2018 (7.9266714959794 yrs)
- Last Updated
- Jun 15, 2023
- Licenses
-
2386 (OK)4330 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 THORNTON RDLOCKESBURG, AR, 718469406Browse AR providers · Browse ZIP 71846
- Phone
- 4059628447
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.