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Charla Bullard, ATR-BC, LPAT

NPI 1942827365 · on the registry since 2020 · sole proprietor

Practice

Address
1500 E Woodrow Wilson Ave # 117
Jackson, MS 39216
Phone
(601) 362-4471
Clinicians at this address
3

Registry record

Primary taxonomy
221700000X
221700000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-01

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 Mississippi