Individual
REBECCA L BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
(703) 523-9565
Mailing address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603327
VA
Other
Enumeration date
12/05/2022
Last updated
04/08/2024
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