Individual
BERNARD PAUL TABUNGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 MERRILL LN APT 4, DRACUT, MA 01826-4450
(978) 387-9184
Mailing address
630 MERRILL LN APT 4, DRACUT, MA 01826-4450
(978) 387-9184
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
3715
DE
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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