Individual
BRYAN ROBERT GELETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891233500
—
FL
01
—
Y084Y
BCBS INDIV PROV NUM
FL
Enumeration date
06/04/2006
Last updated
09/26/2023
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