Individual
KELLY BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1181 LLOYD AVE, AURORA, OH 44202-7115
(330) 322-4010
Mailing address
1181 LLOYD AVE, AURORA, OH 44202-7115
(330) 322-4010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
OTA006325
OH
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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