Individual
BRIAN K BRUNCKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W RIDGEWOOD AVE, SUITE 104, PARAMUS, NJ 07652-2359
(201) 652-1415
(201) 652-0391
Mailing address
225 INVERNESS CIR, CHALFONT, PA 18914-3919
(201) 456-8534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01149200
NJ
225100000X
Physical Therapist
Primary
PT030388
PA
Other
Enumeration date
09/14/2006
Last updated
11/29/2022
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