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Individual

BETHANY JEAN BUNTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
1014 W 2100 N, PLEASANT GROVE, UT 84062-9511

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
UT

Other

Enumeration date
10/28/2022
Last updated
10/28/2022
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