Provider Demographics
NPI:1568109379
Name:PRITCHETT-PULLUM, ROSE ANN (BS)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:ANN
Last Name:PRITCHETT-PULLUM
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 HOGAN BOWERS RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-0853
Mailing Address - Country:US
Mailing Address - Phone:336-687-5687
Mailing Address - Fax:
Practice Address - Street 1:539 HOGAN BOWERS RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-0853
Practice Address - Country:US
Practice Address - Phone:336-687-5687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist