Individual
MARTIN ERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
25 YEARSLEY MILL RD, MEDIA, PA 19063-5522
(610) 892-1296
Mailing address
206 FAIRFIELD CT, WEST CHESTER, PA 19382-6606
(610) 574-5289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001387A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROVIDER CODE 22
RESPIRATORY, REHABILITATIVE, & RESTORATIVE SERVICE PROVIDERS
PA
Enumeration date
04/16/2014
Last updated
04/16/2014
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