| Doctor Name: | MRS. DENA MARIE BRUNK |
| NPI Number: | 1447254826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 4062 |
| Business Practice Address: | 1621 S Eucalyptus Ave Broken Arrow, OK - 740125940 |
| Business Phone Number: | 9182520513 |
| Business Fax Number: | 9182521496 |
| Mailing Address: | 4812 E 33rd St, TULSA |
| State: | OK |
| Postal Code: | 741352038 |
| Phone Number: | 9186224126 |
| Fax Number: | 9182702398 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 06/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |