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Nathanael Owen Bungard, DPT

Physical Therapist in Belle Vernon, PA. Individual provider (NPI-1).

NPI number1558192575
StatusActive
Last updated in NPPESSep 19, 2024

Details

NPI
1558192575
Entity type
Individual (NPI-1)
Name
Mr. Nathanael Owen Bungard
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2024
Last updated
Sep 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT032461PAYes

Practice location

638 Rostraver Rd
Ste 104
Belle Vernon, PA 15012

Phone 724-243-3728 · Fax 724-320-2254

Mailing address

638 Rostraver Rd
Ste 104
Belle Vernon, PA 15012

Phone 724-243-3728 · Fax 724-320-2254

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