Misty Bullock

NPI 1639354335 · on the registry since 2008 · sole proprietor

Practice

Address: 2032 S Frazier St
Philadelphia, PA 19143
Phone: (267) 736-9099
Organisation at this address: Bright Life Therapy Inc.
Better Living Rehabilitation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 225X00000X
225X00000X
Also registered as: 225X00000X
Licence states on file: PA, FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania