THERESA M. BRUN

PHILADELPHIA, PA
NPI1619978244
Former NameTHERESA M. CRAWFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: PA  PT015824)
Enumeration Date2005-08-04
Last Update Date2008-11-06
Business Address
-- THERESA M. BRUN MPT
9379 KREWSTOWN RD
PHILADELPHIA, PA 19115-3710
Phone number: 215-676-6760
Mailing Address
-- THERESA M. BRUN MPT
420 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1568
Phone number: 215-629-1270