Individual
KARISSA LEIGH BRUNOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 BASKIN LN, ADAMS, MA 01220-1532
(413) 672-2530
Mailing address
4 BASKIN LN, ADAMS, MA 01220-1532
(413) 672-2530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8767
MA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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