Individual provider · NPI-1

Elizabeth Maria Bruner

Rehabilitation Practitioner · Orange, CA

NPI number1659244622
StatusActive
Last updated in NPPESSep 25, 2025

Details

NPI
1659244622
Entity type
Individual (NPI-1)
Name
Elizabeth Maria Bruner
Sole proprietor
Yes
Enumeration date
Sep 25, 2025
Certification date
Sep 25, 2025
Last updated
Sep 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes

Practice location

238 S Flower St
Orange, CA 92868-3415

Phone 714-978-6682

Mailing address

238 S Flower St
Orange, CA 92868-3415

Phone 714-978-6682

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