Individual
CHANTELLE M BRUYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740-2610
(808) 329-7744
(808) 334-1608
Mailing address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740-2610
(808) 329-7744
(808) 334-1608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60292662
WA
Other
Enumeration date
07/09/2012
Last updated
01/21/2025
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