Individual
TAMMY L BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 968-2060
Mailing address
2648 ELKHILL DR, SAINT LOUIS, MO 63125-4111
(314) 698-8077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015008256
MO
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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