Individual
GARY BRUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24726 75TH ST, SALEM, WI 53168-9704
(262) 843-8333
(262) 843-2948
Mailing address
24726 75TH ST, SALEM, WI 53168-9704
(262) 843-8333
(262) 843-2948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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