Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY DALE BULLOCK, PT
Active Sole ProprietorJEFFREY DALE BULLOCK, PT is a Neurology (Occupational Therapy) healthcare provider located in CAMP PENDLETON, California. NPI 1922297613 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · CAMP PENDLETON, CA
Registration Details
- NPI Number
- 1922297613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2007 (18.850521945753 yrs)
- Last Updated
- May 16, 2024
- Licenses
-
PTL.0011340 (CO)0011340 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2016 SAN JACINTO RDCAMP PENDLETON, CA, 92054Browse CA providers · Browse ZIP 92054
- Phone
- 7607194191
- Fax
- 7607194267
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
- Additional Specialty
- Neurology (Occupational Therapy)
Other Neurology (Occupational Therapy) Providers in CAMP PENDLETON, CA
| Name | Credential | NPI |
|---|---|---|
| TREVOR RAYMOND SCOTT | DPT | 1689007072 |
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.