Individual
MRS. SHERRI TARA BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
47 BLANCHE ST, PLAINVIEW, NY 11803-4621
(516) 938-4874
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0245121
NY
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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