Individual
MISS KRISTA R DELUCA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-1500
Mailing address
1717 VALLEY RD, MEADOWBROOK, PA 19046-1311
(215) 399-7868
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003584
PA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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