JUSTIN RICHARD BRUNNER

MONTPELIER, ID
NPI1225883192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: ID  PT-4508)
Enumeration Date2024-04-23
Last Update Date2024-04-23
Business Address
JUSTIN RICHARD BRUNNER DPT
164 S 5TH ST
MONTPELIER, ID 83254-1597
Phone number: 208-847-4417
Mailing Address
JUSTIN RICHARD BRUNNER DPT
164 S 5TH ST
MONTPELIER, ID 83254-1597
Phone number: 208-847-4417
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