Individual
MR. GEORGE EHREN TROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3425 PEACH ST, ERIE, PA 16508-2779
(814) 450-5463
(814) 860-3128
Mailing address
305 ANDERSON DR, ERIE, PA 16509-3206
(814) 450-5463
(814) 860-3128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010963-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000579275
HIGHMARK
PA
Enumeration date
08/09/2006
Last updated
01/09/2012
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