Carla Buntyn

NPI #1467874081 in Shreveport, Louisiana

Provider Information

NPI Number: 1467874081
Entity Type: Individual
Name: Carla Buntyn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 16, 2014
Last Updated: Jan 16, 2014

Practice Location

Address: 2524 LAKEWAY DR
City: Shreveport
State: Louisiana
ZIP Code: 71109-3007
Phone: (318) 220-6289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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