Individual
LEILA BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3350 LAUREL RIDGE AVE, RUSKIN, FL 33570-5526
(813) 641-5308
Mailing address
5911 43RD CT E, BRADENTON, FL 34203-7018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4390
FL
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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