Individual
MARY RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5419 ROUTE 309, CENTER VALLEY, PA 18034-9601
(610) 282-1722
(610) 282-0101
Mailing address
5419 ROUTE 309, CENTER VALLEY, PA 18034-9601
(610) 282-1722
(610) 282-0101
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC3752-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02691000
CBC- CHIROPRACTOR
PA
Enumeration date
01/25/2006
Last updated
10/11/2011
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