Individual
BRIAN M KLUCINEC
Active
Individual
BRIAN M KLUCINEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012466L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50048730
CAPITAL BC
PA
01
—
991848
PA BLUE SHIELD
PA
Enumeration date
05/01/2006
Last updated
10/08/2008
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