Individual provider · Type 1 NPI
Theresa M. Brun, MPT
Specialist · Philadelphia, PA
NPI number
1619978244
Active
Practice location
9379 Krewstown Rd
Philadelphia, PA 19115-3710
Fax (215) 676-3746
Mailing address
420 Bainbridge St
Philadelphia, PA 19147-1568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT015824 (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1619978244
Theresa M. Brun, MPT's National Provider Identifier is 1619978244, issued on Aug 4, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 6, 2008.