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Individual

BRENDA LYNN WITKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
622 DURHAM RD, NEWTOWN, PA 18940-9618
(215) 598-0344
Mailing address
622 DURHAM RD, NEWTOWN, PA 18940-9618
(215) 598-0344

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006848L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WI1644481
HIGHMARK BLUE SHIELD PA
PA
Enumeration date
03/27/2007
Last updated
07/08/2007
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