Provider Demographics
NPI:1285040766
Name:PULS, CAMERON JAY (PT)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:JAY
Last Name:PULS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:840 HAMMOND ST
Mailing Address - Street 2:STE 2
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4339
Mailing Address - Country:US
Mailing Address - Phone:413-773-2411
Mailing Address - Fax:413-773-2510
Practice Address - Street 1:48 SANDERSON ST
Practice Address - Street 2:REHAB DEPARTMENT
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2778
Practice Address - Country:US
Practice Address - Phone:413-773-2411
Practice Address - Fax:413-773-2510
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2018-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MEPT5110225100000X
MA20110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist