Individual
BRIAN M KLUCINEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
32 NORTHEAST DR, SUITE 203, HERSHEY, PA 17033-2755
(717) 533-0215
(717) 533-0218
Mailing address
811 W ELM ST, PALMYRA, PA 17078-3002
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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