NPI | 1699009126 |
---|---|
Other Name | JOEY BRUTZKUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.164517) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125073778) |
Enumeration Date | 2009-09-30 |
Last Update Date | 2023-06-02 |