Trace Von Bruenchenhein

NPI #1558930263 in Mchenry, Illinois

Provider Information

NPI Number: 1558930263
Entity Type: Individual
Name: Trace Von Bruenchenhein
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 406 FRONT ST # 110
City: Mchenry
State: Illinois
ZIP Code: 60050-5593
Phone: (815) 344-8706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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