DESIREE BUNGABONG

SUNRISE, FL
NPI1275921702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.019961)
Enumeration Date2015-01-06
Last Update Date2015-01-06
Business Address
-- DESIREE BUNGABONG PT
1580 SAWGRASS CORPORATE PKWY STE 100
SUNRISE, FL 33323-2860
Phone number: 954-332-4445
Mailing Address
-- DESIREE BUNGABONG PT
1580 SAWGRASS CORPORATE PKWY SUITE 100
SUNRISE, FL 33323-2859
Phone number: