Individual
MARK BRUFLADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3548 ARDMORE RD, SACRAMENTO, CA 95821
(916) 212-7169
Mailing address
3548 ARDMORE RD, SACRAMENTO, CA 95821
(916) 212-7169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10028
CA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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