Individual
STEPHANIE NICOLE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
501 PERSHING RD, RALEIGH, NC 27608-2623
(919) 446-3216
Mailing address
501 PERSHING RD, RALEIGH, NC 27608-2623
(336) 209-3886
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
0017195
CO
2251X0800X
Orthopedic Physical Therapist
Primary
P19371
NC
Other
Enumeration date
03/01/2020
Last updated
09/19/2023
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