Provider Demographics
NPI:1639282882
Name:BRUNNABEND, JAIME K (MPT)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:K
Last Name:BRUNNABEND
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 S 11TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1414
Mailing Address - Country:US
Mailing Address - Phone:215-538-1999
Mailing Address - Fax:
Practice Address - Street 1:361 S 11TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1414
Practice Address - Country:US
Practice Address - Phone:215-538-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013850L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist