Individual
MICHAEL BRUNSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4801 SOUTHWICK DR, 5TH FLOOR, MATTESON, IL 60443-2254
(708) 283-9765
(708) 283-9971
Mailing address
4801 SOUTHWICK DR, 5TH FLOOR, MATTESON, IL 60443-2254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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