Individual
MICHAEL JURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 SYLVAN DR, BROOMALL, PA 19008-1237
(484) 620-1444
Mailing address
128 SYLVAN DR, BROOMALL, PA 19008-1237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TRT000136
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2019
Last updated
07/10/2020
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