| NPI | 1699009126 |
|---|---|
| Other Name | JOEY BRUTZKUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036164517) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036164517) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.164517) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 125073778) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2024-10-29 |