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Individual

BRIEANN N BULETZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4830 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 724-4888
(717) 652-4203
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026303
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033331020003
PA
Enumeration date
07/28/2017
Last updated
02/28/2019
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