Individual
RUTH BUNKELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 PGA BLVD, STE #300, PALM BEACH GARDENS, FL 33410
(561) 741-0000
(561) 741-0002
Mailing address
PO BOX 9168, JUPITER, FL 33468-9168
(561) 741-0000
(561) 741-0002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW 3703
FL
222Q00000X
Developmental Therapist
Primary
SW3703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754655600
—
FL
Enumeration date
03/08/2007
Last updated
11/16/2016
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