Blaine Bunch

NPI #1053061259 in Waynesboro, Mississippi

Provider Information

NPI Number: 1053061259
Entity Type: Individual
Name: Blaine Bunch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 28, 2022
Last Updated: Mar 28, 2022

Practice Location

Address: 1304 WALNUT ST
City: Waynesboro
State: Mississippi
ZIP Code: 39367-2232
Phone: (601) 735-9025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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