Individual
JAMES A BRUCKNER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 GREEN VISTA DR, ENCINO, CA 91436-4014
(661) 312-3112
Mailing address
3540 GREEN VISTA DR, ENCINO, CA 91436-4014
(661) 312-3112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12334
CA
Other
Enumeration date
06/06/2018
Last updated
02/19/2026
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