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1790260123
CHARLES BRUNCKHORST
FAIRFIELD, CT
NPI
1790260123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 11878)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
CHARLES BRUNCKHORST PT, DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
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Mailing Address
CHARLES BRUNCKHORST PT, DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
Copy
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