Individual
BENJAMIN BRUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1740 SOUTH ST STE 503, PHILADELPHIA, PA 19146-1572
(215) 430-3309
Mailing address
1740 SOUTH ST STE 503, PHILADELPHIA, PA 19146-1572
(215) 430-3309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013059
PA
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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