Individual
MR. EMARJUN BRUCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MHA
Contact information
Practice address
132 W 4TH AVE, WILLIAMSON, WV 25661-3112
(304) 235-2389
Mailing address
132 W 4TH AVE, WILLIAMSON, WV 25661-3112
(304) 235-2389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004562
KY
Other
Enumeration date
04/19/2007
Last updated
12/02/2010
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