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Individual

MR. DOUGLAS BRYAN KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
101 N MONROE ST, 2ND FLOOR, MEDIA, PA 19063-3037
(484) 444-0135
(610) 565-3773
Mailing address
412 ALDAN AVE, ALDAN, PA 19018-4204
(610) 394-2645

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015036
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KL1315092
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/17/2006
Last updated
12/12/2007
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