Individual
JOSEPH BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1940 BRUCE B DOWNS BLVD STE 107, WESLEY CHAPEL, FL 33544-9262
(813) 991-1555
Mailing address
6116 9TH AVE, NEW PORT RICHEY, FL 34653-5214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22762
FL
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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