Individual
MR. JASON TODD BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
600 W VALLEY FORGE RD, KING OF PRUSSIA, PA 19406-1571
(610) 337-1775
(866) 644-5682
Mailing address
33 VILLAGE DR, SCHWENKSVILLE, PA 19473-1795
(267) 242-8105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001732L
PA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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