Individual
HANNAH TOMKO BUNDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8620 BIGGIN HILL LN, LOUISVILLE, KY 40220-4117
(859) 817-3599
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-3599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP018284T
KY
225100000X
Physical Therapist
PT015385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419750
MEDICARE KY
KY
05
—
7100877130
—
KY
01
—
CP018284T
PT COMPACT LICENSE
KY
01
—
PT015385
PT LICENSE OH
OH
Enumeration date
02/03/2023
Last updated
05/02/2023
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