Individual
MR. PAUL L IMBROGNO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5840 ROUTE 981, SUITE 103, LATROBE, PA 15650-5385
(724) 539-6667
(724) 539-6614
Mailing address
911 LIGONIER ST, SUITE 001, LATROBE, PA 15650-1805
(724) 537-9577
(724) 537-0195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT000761E
PA
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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