Individual
DIANE RENEE BUNDSCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8917 W COLONIAL DR, OCOEE, FL 34761-6955
(407) 822-7506
Mailing address
2656 SLAGROVE CT, WINTER GARDEN, FL 34787-4666
(407) 340-6887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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