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

Individual provider Physical Therapist · NPI 1215203518

Stephanie Allyson Bullock is a Physical Therapist in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1715 Weirfield St Rm 212
Ridgewood, NY 11385-5351
Phone: (718) 628-0664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 025989-1 (NY)

Record details

NPI number1215203518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2012
Last updated in NPPESMarch 30, 2012

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