Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA DENISE BULLOCK
Active Sole ProprietorANDREA DENISE BULLOCK is a Recreation Therapist healthcare provider located in NORWALK, California. NPI 1871297564 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · NORWALK, CA
Registration Details
- NPI Number
- 1871297564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2023 (3.3893188519337 yrs)
- Last Updated
- Mar 28, 2023
- License
-
5303-T (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12636 BLOOMFIELD AVE APT 51NORWALK, CA, 906501411Browse CA providers · Browse ZIP 90650
- Phone
- 3102287577
- Primary Specialty
-
Recreation Therapist
225800000X
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.