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1114178894
KELLY BRUTKO
LEBANON, PA
NPI
1114178894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA 010852L)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
-- KELLY BRUTKO MSPT
900 TUCK ST
LEBANON, PA 17042-7446
Phone number: 717-273-8595
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Mailing Address
-- KELLY BRUTKO MSPT
83 WALDEN RD
LEBANON, PA 17042-4141
Phone number: 570-592-4400
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