Individual
THERESA M. BRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9379 KREWSTOWN RD, PHILADELPHIA, PA 19115-3710
(215) 676-6760
(215) 676-3746
Mailing address
420 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1568
(215) 629-1270
(215) 629-5531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT015824
PA
Other
Enumeration date
08/04/2005
Last updated
11/06/2008
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