Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Denise Bullock

Individual provider Recreation Therapist · NPI 1871297564

Andrea Denise Bullock is a Recreation Therapist in Norwalk, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

12636 Bloomfield Ave Apt 51
Norwalk, CA 90650-1411
Phone: (310) 228-7577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 5303-T (CA)

Record details

NPI number1871297564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 24, 2023