Individual
CASSANDRA ANN BRUNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1001 PINE ST, RENOVO, PA 17764-1618
(814) 506-8212
(814) 506-8213
Mailing address
PO BOX 870, HUNTINGDON, PA 16652-0870
(814) 506-8212
(814) 506-8213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017986
PA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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