Individual
MISS TINA L. BUNGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W SUNSET AVE, VILLA PARK, IL 60181-1540
(630) 516-7788
Mailing address
150 W SUNSET AVE, VILLA PARK, IL 60181-1540
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.008103
IL
Other
Enumeration date
07/08/2008
Last updated
05/08/2011
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