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Mira Bunch

Physical Therapist in Crown Point, IN. Individual provider (NPI-1).

NPI number1508776717
StatusActive
Last updated in NPPESSep 9, 2026

Details

NPI
1508776717
Entity type
Individual (NPI-1)
Name
Mira Bunch
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2026
Certification date
Sep 9, 2026
Last updated
Sep 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist05016462AINYes

Practice location

11496 Broadway
Crown Point, IN 46307-7106

Phone 219-213-2222

Mailing address

11505 Belmont Pl
Cedar Lake, IN 46303-8941

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