Individual
KRISTA JOY BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 725-8621
Mailing address
7394 WILEYTOWN RD, MIDDLE GROVE, NY 12850-1413
(585) 282-7205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008481
NY
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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