Jake Bundy, MOTR/L

NPI #1972005361 in Pocatello, Idaho

Provider Information

NPI Number: 1972005361
Entity Type: Individual
Name: Jake Bundy, MOTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MOTR/L
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 560 MEMORIAL DR STE B
City: Pocatello
State: Idaho
ZIP Code: 83201-4073
Phone: (208) 235-4263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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