Individual provider · Type 1 NPI
Andrea Denise Bullock
Recreation Therapist · Norwalk, CA
NPI number
1871297564
Active
Practice location
12636 Bloomfield Ave Apt 51
Norwalk, CA 90650-1411
Mailing address
14445 Olive View Dr # 1D120
Sylmar, CA 91342-1437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 5303-T (CA) |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
About NPI 1871297564
Andrea Denise Bullock's National Provider Identifier is 1871297564, issued on Mar 28, 2023. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Norwalk, CA. The record was last updated on Mar 28, 2023.