JAKE BUNDY

POCATELLO, ID
NPI1972005361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1457)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
JAKE BUNDY MOTR/L
560 MEMORIAL DR STE B
POCATELLO, ID 83201-4073
Phone number: 208-235-4263
Mailing Address
JAKE BUNDY MOTR/L
5082 BRYLEE WAY
IONA, ID 83427-4908
Phone number: 435-669-2438
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