Individual
MRS. HOLLY D BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
Mailing address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1878
ID
225100000X
Physical Therapist
PT00007686
WA
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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