Individual
DR. GEORGE KENNETH PETRUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, DACRB
Contact information
Practice address
2791 GERYVILLE PIKE, PENNSBURG, PA 18073-2306
(215) 679-3419
(215) 679-8866
Mailing address
2791 GERYVILLE PIKE, PENNSBURG, PA 18073-2306
(215) 679-3419
(215) 679-8866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002109L
PA
111NR0400X
Rehabilitation Chiropractor
DC002109L
PA
Other
Enumeration date
07/21/2006
Last updated
05/06/2008
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