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Individual

MRS. REBEKAH BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
801 RIVERHILL DR, ATHENS, GA 30606-4067
(706) 369-7100
Mailing address
564 WELLINGTON LN, MONROE, GA 30655-8525
(678) 267-6905

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002985
GA

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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