Jonathan Lavan Bundy, PT, DPT
NPI #1255738118 in Providence, Utah
Provider Information
- NPI Number
- 1255738118
- Entity Type
- Individual
- Name
- Jonathan Lavan Bundy, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Nov 20, 2014
- Last Updated
- Jun 5, 2022
Practice Location
- Address
- 267 N SPRING CREEK PKWY
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9775
- Phone
- (435) 792-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Physical Therapist |
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