Individual
KERRY LYNN BUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
10125 S DE ANZA BLVD, CUPERTINO, CA 95014-2105
(408) 865-1365
Mailing address
10125 S DE ANZA BLVD, CUPERTINO, CA 95014-2105
(408) 865-1365
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8431
CA
Other
Enumeration date
11/07/2018
Last updated
05/30/2025
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