Individual
DR. GLENN DANIEL LABROZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2374 VILLAGE COMMON DR, SUITE 101, ERIE, PA 16506-7201
(814) 835-0300
(814) 835-0302
Mailing address
PO BOX 9897, ERIE, PA 16505
(814) 397-6872
(814) 835-0302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006529L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019443950003
—
PA
01
—
1302096
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/08/2006
Last updated
11/21/2016
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