Individual
GERAE BRUNACINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
47 BLANCHARD ST, JAMESTOWN, NY 14701-3449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006922
PA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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