Individual
MRS. JACQUELINE ASHLEY BRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3506 JAMES ST, SHRUB OAK, NY 10588-1916
(631) 241-2727
Mailing address
3506 JAMES ST, SHRUB OAK, NY 10588-1916
(631) 241-2727
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
031023-1
NY
Other
Enumeration date
01/19/2009
Last updated
03/16/2016
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