Individual
MARY E BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., OTR/L
Contact information
Practice address
318 S FRANCES ST, SOUTH BEND, IN 46617-3208
(772) 263-3956
Mailing address
1507 CHICAGO AVE, EVANSTON, IL 60201-4405
(772) 263-3956
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
84000148A
IN
225X00000X
Occupational Therapist
Primary
31001987A
IN
Other
Enumeration date
07/07/2008
Last updated
03/27/2015
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