Individual
MS. REBECCA LYNN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 JOSEPH WALKER DR, WEST COLUMBIA, SC 29169-6971
(803) 796-0370
Mailing address
200 ATRIUM WAY APT 401, COLUMBIA, SC 29223-6394
(803) 804-6245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3076
SC
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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