Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTJUAN MANDWELL BUNN
Active Sole ProprietorANTJUAN MANDWELL BUNN is a Physical Therapist Assistant healthcare provider located in COLLEGE PARK, Maryland. NPI 1790316206 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · COLLEGE PARK, MD
Registration Details
- NPI Number
- 1790316206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2020 (6.5456185050211 yrs)
- Last Updated
- Feb 19, 2020
- License
-
221886 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8147 BALTIMORE AVE STE CCOLLEGE PARK, MD, 207402492Browse MD providers · Browse ZIP 20740
- Phone
- 2403981909
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in COLLEGE PARK, MD
| Name | Credential | NPI |
|---|---|---|
| LAUREN P JEFFERSON | — | 1881405652 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.