Individual
MICHAEL ROSS BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 GOVER ST, SOMERSET, KY 42501-3332
(606) 679-8331
Mailing address
571 WHISPER WOODS DR, SOMERSET, KY 42503-9748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
175297
KY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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