Individual
MS. KELLY BRUKIEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7232 GERMAN HILL RD, BALTIMORE, MD 21222-1260
(410) 282-6310
Mailing address
39 LUFFING CT, ESSEX, MD 21221-2936
(443) 602-0532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3418
MD
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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