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NPI Code Detail

MEDICARE: ALLAN BRUNO

MEDICARE: ALLAN BRUNO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant9607CA

General Provider Information

NPI Number : 1568850246
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN BRUNO
Provider Business Mailing Address
First Line : 1805 WEST ST
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1932
Country : US
Telephone Number : 510-259-6733
Fax Number : 510-780-0690
Provider Business Practice Location Address
First Line : 1805 WEST ST
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1932
Country : US
Telephone Number : 510-259-6733
Fax Number : 510-780-0690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2015
Last Update Date : 01/02/2015

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Directions to “ ALLAN BRUNO ” Practice Location

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