Provider Demographics
NPI:1831933522
Name:BRUNO, SYLVIA ADAIR JOHNSON (PT)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ADAIR JOHNSON
Last Name:BRUNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 IBIZA LOOP
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1318
Mailing Address - Country:US
Mailing Address - Phone:860-798-8079
Mailing Address - Fax:
Practice Address - Street 1:5957 CATTLEMEN LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6200
Practice Address - Country:US
Practice Address - Phone:941-371-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist