Individual
GRACIE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 E MAIN ST, BELLEVILLE, PA 17004-9251
(717) 935-2105
Mailing address
1136 TROYER RD, MC ALISTERVILLE, PA 17049-8078
(717) 320-4389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
PA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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