Individual
MRS. JENNIFER A. BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2241 LAKE AVE, ASHTABULA, OH 44004-3437
(440) 998-0033
Mailing address
2520 WALNUT BLVD, ASHTABULA, OH 44004-2377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005856
OH
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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