Individual
AMY BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
257 STATE RD, WEST GROVE, PA 19390-8956
(610) 869-2446
Mailing address
185 LEARY RD, HONEY BROOK, PA 19344-9033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007863
PA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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