Individual
MITCHELL JAMES BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4141 E THOMAS RD, PHOENIX, AZ 85018-7515
(602) 954-7742
(602) 955-2229
Mailing address
PO BOX 15858, PHOENIX, AZ 85060-5858
(602) 954-7742
(602) 955-2229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3369
AZ
2251S0007X
Sports Physical Therapist
3369
AZ
Other
Enumeration date
01/15/2007
Last updated
01/18/2021
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