Individual
BRENDA A STACHURSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 W 27TH ST, HAZLETON, PA 18202-9604
(570) 454-8888
Mailing address
12 TERRACE DR, MOUNTAIN TOP, PA 18707-1815
(570) 474-5190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016954
PA
Other
Enumeration date
07/05/2007
Last updated
11/05/2013
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