Individual
MRS. GINGER R NEILL BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1201 S POLK ST, MAYSVILLE, MO 64469-4028
(816) 449-2281
(816) 449-2281
Mailing address
1201 S POLK ST, MAYSVILLE, MO 64469-4028
(816) 449-2281
(816) 449-2281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006025510
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006025510
DIV. OF PROF. REG.
MO
Enumeration date
08/29/2007
Last updated
08/29/2007
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