Individual
MS. BRUNA C FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3350 WILKENS AVE, SUITE 303, BALTIMORE, MD 21229-4600
(410) 368-1026
(410) 368-1047
Mailing address
3350 WILKENS AVE, SUITE 303, BALTIMORE, MD 21229-4600
(410) 368-1026
(410) 368-1047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22975
MD
Other
Enumeration date
07/29/2009
Last updated
12/09/2009
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