Individual
WARREN VAN BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3819 6TH AVE, TACOMA, WA 98406-4903
(253) 844-4137
Mailing address
3819 6TH AVE, TACOMA, WA 98406-4903
(253) 844-4137
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT61343673
WA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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