Individual
MS. SHANNON HOUPT BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
420 PERKIOMEN AVE, LANSDALE, PA 19446-3529
(215) 527-9953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019941
PA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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