Individual
MRS. HARRIET FESSLER KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
315 S SECOND AVE, LEBANON, PA 17042-5426
(717) 273-6477
Mailing address
315 S SECOND AVE, LEBANON, PA 17042-5426
(717) 273-6477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-003322L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01878001
CAPITAL BLUE CROSS
PA
01
—
606338
PA BLUE SHIELD
PA
Enumeration date
11/06/2006
Last updated
07/08/2007
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