LISA R BRUNNER

SALEM, OR
NPI1114290335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  7809)
Enumeration Date2012-02-18
Last Update Date2013-12-03
Business Address
Mrs. LISA R BRUNNER LMT
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-409-0760
Mailing Address
Mrs. LISA R BRUNNER LMT
752 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-409-0760