Individual
MICHELLE BRUNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WILLARD AVE, BLDG. 1, SUITE 1-D, NEWINGTON, CT 06111-2650
(860) 665-8265
(860) 665-8310
Mailing address
505 WILLARD AVE, BLDG. 1, SUITE 1-D, NEWINGTON, CT 06111-2650
(860) 665-8265
(860) 665-8310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10239
CT
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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