Individual
KIMBERLY BRUNNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2632
CT
225XN1300X
Neurorehabilitation Occupational Therapist
2632
CT
225XP0019X
Physical Rehabilitation Occupational Therapist
2632
CT
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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