Individual
STEPHEN BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 241-7588
Mailing address
429 MANOR DR, EBENSBURG, PA 15931-4917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000389
PA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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