Individual
MRS. ERICA S BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1340 ELM ST STE 200, MORGAN CITY, LA 70380-1893
(985) 868-1540
(985) 876-0759
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06445
LA
2251P0200X
Pediatric Physical Therapist
06445
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306762
—
LA
Enumeration date
10/31/2007
Last updated
07/23/2021
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