Individual
MR. BRYAN MICHAEL BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CEAS
Contact information
Practice address
3333 N CALVERT ST STE 200, BALTIMORE, MD 21218-6505
(410) 554-2107
(410) 554-6687
Mailing address
2107 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1640
(443) 827-8649
(410) 554-6687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21981
MD
Other
Enumeration date
04/02/2007
Last updated
02/14/2023
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