Individual
MATTHEW BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
18161 E PETROLEUM DR, BATON ROUGE, LA 70809-6104
(225) 754-8888
Mailing address
PO BOX 835, WATSON, LA 70786-0835
(225) 610-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09017R
LA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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