Individual
MADISON MICHELLE BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2617 ANTILLEY RD, ABILENE, TX 79606-5109
(325) 437-1184
Mailing address
7149 TIN CUP DR, ABILENE, TX 79606-5600
(325) 864-2769
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216469
TX
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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