Individual
MR. DONALD CHRISTOPHER BRUNELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
130 E BROAD ST, CAMILLA, GA 31730-1809
(229) 336-1115
(229) 336-1151
Mailing address
137 SILVER LEAF DR, ALBANY, GA 31721-7704
(229) 439-4165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT005178
GA
2251S0007X
Sports Physical Therapist
PT005178
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT005178
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893846A
—
GA
01
—
P00107967
PALMETTO GBA - RR MEDICAR
—
Enumeration date
03/14/2006
Last updated
09/11/2025
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