Individual
MRS. MEGHANN KIERSTEN BRUNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CMT
Contact information
Practice address
20098 ASHBROOK PL, SUITE 190, ASHBURN, VA 20147-3393
(703) 434-3316
Mailing address
230 CANYON RD, WINCHESTER, VA 22602-7024
(540) 894-3195
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0019007230
VA
2255A2300X
Athletic Trainer
0126000734
VA
Other
Enumeration date
02/15/2006
Last updated
01/21/2011
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