Provider Demographics
NPI:1720221922
Name:BRUGLER, TONYA A (OTR/L)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:A
Last Name:BRUGLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SAINT JAMES COURT
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-8302
Mailing Address - Country:US
Mailing Address - Phone:610-759-1569
Mailing Address - Fax:
Practice Address - Street 1:408 SAINT JAMES CT
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-8302
Practice Address - Country:US
Practice Address - Phone:610-759-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003351L225X00000X
NJ46TR00030100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist