Individual provider · Type 1 NPI

Jeffrey Dale Bullock, PT

Neurology Physical Therapist · Camp Pendleton, CA

NPI number 1922297613 Active

Practice location

2016 San Jacinto Rd
Camp Pendleton, CA 92054

Fax (760) 719-4267

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPTL.0011340 (CO)
Neurology Physical Therapist Primary 2251N0400X0011340 (CO)

Neurology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with an…

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About NPI 1922297613

Jeffrey Dale Bullock, PT's National Provider Identifier is 1922297613, issued on Oct 17, 2007. The primary taxonomy on file is Neurology Physical Therapist (2251N0400X), and the practice location is in Camp Pendleton, CA. The record was last updated on May 16, 2024.