Individual
BERNICE BUNTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 KIRBY PKWY, MEMPHIS, TN 38115-3721
(901) 365-3665
Mailing address
4462 KAYLA CV, MEMPHIS, TN 38141-5800
(901) 247-5427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004037
TN
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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