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Organization

ERIE COUNTY CARE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRIS PETULLA (ADMINISTRATIVE OFFICER)
(814) 451-8400
Entity
Organization

Contact information

Practice address
155 W 8TH ST, ERIE, PA 16501-1012
(814) 451-8400
Mailing address
155 W 8TH ST, ERIE, PA 16501-1012

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017542210003
PA
Enumeration date
03/27/2007
Last updated
09/11/2025
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