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Individual

DESIREE BUNGABONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1580 SAWGRASS CORPORATE PKWY STE 100, SUNRISE, FL 33323-2860
(954) 332-4445
(866) 422-6431
Mailing address
1580 SAWGRASS CORPORATE PKWY, SUITE 100, SUNRISE, FL 33323-2859

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019961
IL

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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