Individual
JENNIFER BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2303 E THOMAS RD, PHOENIX, AZ 85016-7827
(602) 954-7311
Mailing address
2303 E THOMAS RD, PHOENIX, AZ 85016-7827
(602) 954-7311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2613
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869886
—
AZ
Enumeration date
01/12/2007
Last updated
01/03/2012
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