JOSEPH BRUCKNER

LAKE ARIEL, PA
NPI1134537319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE1000110)
Enumeration Date2014-07-31
Last Update Date2014-07-31
Business Address
-- JOSEPH BRUCKNER
1404 GOLF PARK DR
LAKE ARIEL, PA 18436-4252
Phone number: 570-698-5647
Mailing Address
-- JOSEPH BRUCKNER
1404 GOLF PARK DR
LAKE ARIEL, PA 18436-4252
Phone number: