# JENNIFER BRUCKNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427779172
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4412 | NE | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | CP017564T | AZ | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 07/19/2024