Individual
MR. KENNETH R. BRUNO II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
396 DANBURY RD, WILTON, CT 06897-2024
(203) 762-5623
(203) 762-9344
Mailing address
396 DANBURY RD, WILTON, CT 06897-2024
(203) 762-5623
(203) 762-9344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006989
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800006989
BLUE CROSS BLUE SHIEL
CT
01
—
Q26X4
EMPIRE BLUE CROSS
NY
Enumeration date
02/06/2006
Last updated
07/08/2007
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