Individual
MISS KYLE ANN BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5156 WHIPPLE AVE NW, CANTON, OH 44718-2663
(330) 478-1752
(330) 478-1763
Mailing address
2902 25TH ST NW, CANTON, OH 44708-2443
(330) 453-0590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00665
OH
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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