CHARLES BRUNCKHORST

FAIRFIELD, CT
NPI1790260123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  11878)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
CHARLES BRUNCKHORST PT, DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
Mailing Address
CHARLES BRUNCKHORST PT, DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
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