Most Relevant Information
Provider Data
| NPI Number: | 1003058215 |
| Provider Name: | JENNIFER ABIGAIL BUNAG PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160005013 |
Most Important Dates
| Enumeration Date: | 04/02/2009 |
| Last Updated: | 04/02/2009 |
Provider Practice Location
6704 ASPEN LN APT 6
WESTMONT
IL
605593317
Practice Location Phone/Fax
| Phone: | 6309150533 |
| Fax: |
Provider Mailing Location
6704 ASPEN LN APT 6
WESTMONT
IL
605593317
Provider Mailing Phone/Fax
| Phone: | 6309150533 |
| Fax: |