Individual
BUNJA TRAWALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23005 N 74TH ST, SCOTTSDALE, AZ 85255-7500
(888) 842-3780
Mailing address
16825 N 14TH ST UNIT 79, PHOENIX, AZ 85022-7739
(602) 770-9999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014181
AZ
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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