Individual
JORDAN A BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1513 N 2ND ST, MEMPHIS, TN 38107-1003
(901) 272-2494
(901) 272-6818
Mailing address
1020 RIVER ISLE CV, MEMPHIS, TN 38103-8868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4108
TN
Other
Enumeration date
03/30/2012
Last updated
07/13/2012
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