Individual provider · Type 1 NPI
Jacqueline Ashley Brunell, PT, DPT
Pediatric Physical Therapist · Shrub Oak, NY
Practice location
3506 James St
Shrub Oak, NY 10588-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 031023-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1174760755
Jacqueline Ashley Brunell, PT, DPT's National Provider Identifier is 1174760755, issued on Jan 19, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Shrub Oak, NY. The record was last updated on Mar 16, 2016.