NPI | 1487845715 |
---|---|
Former Name | JAMI BUNGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 7970) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0007970) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2021-09-02 |