Individual
DR. JESSICA LYNN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
332 WEBSTER DR, NEW MILFORD, NJ 07646-1118
(551) 265-4996
Mailing address
332 WEBSTER DR, NEW MILFORD, NJ 07646-1118
(551) 265-4996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01401600
NJ
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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