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Individual

MRS. GRITE BRUNKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
(502) 636-0351
Mailing address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
(502) 636-0351

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007413
KY

Other

Enumeration date
08/06/2018
Last updated
01/23/2019
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