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JESSICA RAE ELLEBRUCH PT, DPT, ATC

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1952600314

Individual Registrant:
 JESSICA RAE ELLEBRUCH PT, DPT, ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
121 CRANBERRY RD  GROVE CITY, PA 16127-4629 US
Tel: 724-458-9473  Fax: --

Contact information for business:
8 ALLEGHENY CTR APT 212  PITTSBURGH, PA 15212-5230 US
Tel: 330-858-2411  Fax: --

Registration Information:
NPI: 1952600314
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
PAPT023924

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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