Individual
SUSANNE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 GOETHALS DR, RICHLAND, WA 99352-4619
(509) 943-1117
Mailing address
2763 S STATE ROAD 13, MAPLE, WI 54854-9224
(360) 791-8361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
05/22/2007
Last updated
04/26/2010
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