Individual provider · Type 1 NPI

Jennifer Bullock-Wells, PTA

Pediatric Physical Therapist · Arnold, MO

NPI number 1386019230 Active

Practice location

3488 Jeffco Blvd, Ste 102
Arnold, MO 63010-6015

Call (636) 464-5439 Map

Fax (636) 464-5438

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2013025659 (MO)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1386019230

Jennifer Bullock-Wells, PTA's National Provider Identifier is 1386019230, issued on Dec 3, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Arnold, MO. The record was last updated on Dec 3, 2015.