Individual
DEBRA ANNE KAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4538 PEACH ST, ERIE, PA 16509-1364
(724) 864-6650
(724) 866-2595
Mailing address
500 MARKET ST, SUITE 103, BEAVER, PA 15009-2998
(724) 728-7550
(724) 728-6648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005626L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007652850005
—
PA
Enumeration date
07/05/2006
Last updated
04/30/2012
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