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Individual

AMY BRUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
(303) 776-6200
Mailing address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
(303) 776-6200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056011243
IL
225X00000X
Occupational Therapist
Primary
OT.0006761
CO

Other

Enumeration date
10/14/2015
Last updated
09/19/2023
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