| Matilda Ann Brunner, | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-3100 | |
| Not Available |
| Full Name | Matilda Ann Brunner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427393172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31005281A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matilda Ann Brunner, 6023 Red Glitter St, North Las Vegas, NV 89031-7215 Ph: (919) 394-1452 | Matilda Ann Brunner, 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3100 |
Francesca Culp, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3100 | |
Dennis The Nguyen, OCC Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |