| NPI | 1659340388 |
|---|---|
| Other Name | GINA MICHELE BUNTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT20153) |
| 225100000X Physical Therapist (Licence: TX 1149833) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2014-07-29 |