Individual
KACEY BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2319 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2228
(931) 436-5323
(931) 920-4346
Mailing address
2319 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2228
(931) 436-5323
(931) 920-4346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5528
TN
225XP0200X
Pediatric Occupational Therapist
5528
TN
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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