Individual
DEREK BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21351 E NIGHTINGALE RD, QUEEN CREEK, AZ 85142-3303
(480) 329-9018
Mailing address
21351 E NIGHTINGALE RD, QUEEN CREEK, AZ 85142-3303
(480) 329-9018
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
011143
AZ
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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