Izora Laverne Bullock Valid NPI
Individual provider · Developmental Therapist · Davenport, FL
- NPI
- 1821185174
- Type
- Individual (Type 1)
- Primary specialty
- Developmental Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 222Q00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-09
Practice location
707 Oakpoint Cir
Davenport, FL 33837-8694
(863) 229-2764