Individual
MARY PRANCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(855) 497-6449
Mailing address
101 HANDEL RD, STAFFORD SPRINGS, CT 06076-4032
(860) 875-6272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
446
CT
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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