Individual
TIEKA P BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 WAKE FOREST HWY, DURHAM, NC 27703
(772) 618-0605
Mailing address
216 WILLOW DR, WILLIAMSTON, NC 27892-2824
(252) 799-7482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4085
NC
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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