Individual
JUSTINE BUNVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(484) 459-4205
Mailing address
3809 STONE GATE BLVD, ELKTON, MD 21921-4128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001469
DE
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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