Individual
MATTHEW S BUNTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2480 S FRONTAGE RD STE F, VICKSBURG, MS 39180-5251
(601) 757-9799
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158
(717) 773-4654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7412
MS
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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