Individual
MR. COREY PAUL FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2301 EDINBORO RD, ERIE, PA 16509-3409
(814) 860-7117
(814) 860-7157
Mailing address
4826 AVELLINO DR, ERIE, PA 16510-4024
(814) 825-2174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012994L
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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