John Paul Bumgardner, PT

NPI #1447359229 in Petal, Mississippi

Provider Information

NPI Number: 1447359229
Entity Type: Individual
Name: John Paul Bumgardner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1145 HIGHWAY 42
City: Petal
State: Mississippi
ZIP Code: 39465-9740
Phone: (601) 544-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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