Individual provider · Type 1 NPI

Izora Laverne Bullock

Developmental Therapist · Davenport, FL

NPI number 1821185174 Active

Practice location

707 Oakpoint Cir
Davenport, FL 33837-8694

Call (863) 229-2764 Map

Fax (863) 229-2764

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1821185174

Izora Laverne Bullock's National Provider Identifier is 1821185174, issued on Oct 6, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Davenport, FL. The record was last updated on Jul 9, 2007.