Individual
BRIAN BRUNKEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
18101 'R' PLAZA, STE 106, OMAHA, NE 68135
(402) 672-6945
Mailing address
11105 CROWN POINT AVE, OMAHA, NE 68164-1509
(402) 672-6945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1616
NE
2251X0800X
Orthopedic Physical Therapist
Primary
1616
NE
Other
Enumeration date
06/22/2005
Last updated
09/11/2025
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