Brunel Bajon
Individual provider Active NPI Physical Therapy Assistant · Plymouth Meeting, PA
NPI 1962704247 · NPPES record last updated Nov 19, 2010
Key facts
- NPI
- 1962704247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 8272 (MA)
- Practice address
- 2250 Hickory Rd
Plymouth Meeting, PA 19462-1047 - Phone
- (610) 834-1122
- NPI assigned
- Nov 19, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8272 | MA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8272 | MA | Yes |
Addresses
Primary practice location
2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Mailing address
2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Other providers in Plymouth Meeting, PA
- Robert S Bailey Jr.
- Coleen Bainbridge
- Melissa Bair
- D'Antoniece Baity
- Aderinsola Baiyewu
- Barbara Baker
- D Baker
- Danielle Baker
- Karen Gail Baker
- Linda Joyce Baker
All providers in Plymouth Meeting, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.