Provider / Organization | NPI | Date Certified |
---|---|---|
CARLA J BULLA | 1558547406 | 2024-01-06 |
Carla J Bulla [F] graduated in 2007 and primarily specializes in Physical Therapy.
Carla J Bulla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558547406. Registration indicates Carla J Bulla is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
PECOS ID | 7810071230 |
Entity Type | Individual |
Provider Name | Carla J Bulla PT, DPT |
Practice Office Address | 638 N FERDON BLVD STE 1 CRESTVIEW, FL US |
Practice Office Telephone | 8503313017 |
Practice Office Fax | 8559752575 |
Mailing Address | 294 N MAIN ST CRESTVIEW, FL 325363510 US |
Business Telephone | 8503313017 |
Business Fax | 8559752575 |
Code | Practice | License No State |
---|---|---|
2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | AL2183
FL |
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT23814
FL |
103517900 | MEDICAID | FL |