Individual
DHIELAN BUNGAY BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
305 W GRAND AVE, MONTVALE, NJ 07645-1813
(844) 777-0910
(201) 560-0712
Mailing address
784 FRANKLIN AVE STE 250, FRANKLIN LAKES, NJ 07417-1306
(844) 777-0910
(201) 570-0712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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