Most Relevant Information
Provider Data
| NPI Number: | 1003374216 |
| Provider Name: | REBEKAH BRUNER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA002985 |
Most Important Dates
| Enumeration Date: | 03/06/2019 |
| Last Updated: | 03/06/2019 |
Provider Practice Location
801 RIVERHILL DR
ATHENS
GA
306064067
Practice Location Phone/Fax
| Phone: | 7063697100 |
| Fax: |
Provider Mailing Location
564 WELLINGTON LN
MONROE
GA
306558525
Provider Mailing Phone/Fax
| Phone: | 6782676905 |
| Fax: |