Individual
RUSSELL BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1101 E TUOLUMNE RD, TURLOCK, CA 95382-1541
(209) 667-8409
Mailing address
PO BOX 342, KINGSBURG, CA 93631-0342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2181592
TX
225200000X
Physical Therapy Assistant
Primary
53045
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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