Individual
CHRISTIAN KLUCSARITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 S NEW ST, WEST CHESTER, PA 19383-0001
(610) 436-2825
Mailing address
855 S NEW ST, WEST CHESTER, PA 19383-0001
(610) 436-2825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT007066
OTHER
PA
Enumeration date
02/25/2019
Last updated
02/25/2019
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