Individual
ANDREA D BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(505) 527-5823
(505) 527-5886
Mailing address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(505) 527-5823
(505) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0366
NM
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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