Miss Misty Star Bullock is a Philadelphia, Pennsylvania based therapist who is specialized in Occupational Therapy. Active license number of Miss Misty Star Bullock is OC009582 for Occupational Therapy in Pennsylvania. Her current practice location is 2032 S Frazier St, Philadelphia. Patients can reach her at 267-736-9099. Miss Misty Star Bullock NPI number (Unique professional ID assigned by NPPES) is 1639354335.
Miss Misty Star Bullock provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Miss Misty Star Bullock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Misty Star Bullock |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Practice Address: | 2032 S Frazier St, Philadelphia,
Pennsylvania, 19143-5618 |
| Phone: | 267-736-9099 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639354335 |
| NPI Enumeration Date: | 01 Jan, 2008 |
| NPI Last Update On: | 01 Jan, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Misty Star Bullock are as mentioned below.
| License Number | Specialization | State | Status | |
| OC009582 | Occupational Therapy | Pennsylvania | Primary | |
| OT11929 | Occupational Therapy | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Misty Star Bullock
2032 S Frazier St,
Philadelphia, Pennsylvania |
| Zip: | 19143-5618 |
| Phone Number: | 267-736-9099 |
Patients can reach Miss Misty Star Bullock at
2032 S Frazier St, Philadelphia, Pennsylvania or can
call to book an appointment on 267-736-9099.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.