JONATHAN WESLEY THOMAS BUNDRICK

RAYTOWN, MO
NPI1982071221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2015027081)
Enumeration Date2015-08-21
Last Update Date2015-08-21
Business Address
-- JONATHAN WESLEY THOMAS BUNDRICK DPT
10801 E STATE ROUTE 350
RAYTOWN, MO 64138-2367
Phone number: 816-737-5502
Mailing Address
-- JONATHAN WESLEY THOMAS BUNDRICK DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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