Randi Bullard, DPT | |
12739 Highway 171 Ste B, Longville, LA 70652-5050 | |
(337) 317-9290 | |
Not Available |
Full Name | Randi Bullard |
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Gender | Female |
Speciality | Physical Therapist |
Location | 12739 Highway 171 Ste B, Longville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750063517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Calcasieu Urgent Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
Mailing Address | Practice Location Address |
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Randi Bullard, DPT 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290 | Randi Bullard, DPT 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290 |
Sb Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290 Fax: 337-725-4457 | |
Mr. Christopher Carl Jackson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290 Fax: 337-725-4457 |