Individual
HEATHER M. BRUNJES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
40 1ST AVE, FARMINGDALE, NY 11735-5704
(516) 721-6787
Mailing address
40 1ST AVE, FARMINGDALE, NY 11735-5704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011239
NY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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