Individual
AMY LEIGH BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3801 S. KENWOOD AVE, TAMPA, FL 33611-1523
(561) 702-2377
(813) 253-3113
Mailing address
3801 S. KENWOOD AVE, TAMPA, FL 33611-1523
(561) 702-2377
(813) 253-3113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887726200
—
FL
Enumeration date
01/31/2007
Last updated
08/10/2011
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