Individual
ERIC ANTHONY KONVALIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2757 LEECHBURG RD, LOWER BURRELL, PA 15068-3138
(724) 337-6522
(724) 337-0630
Mailing address
257 HOFFMAN RD, PITTSBURGH, PA 15212-1117
(412) 821-1580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017670670002
—
PA
01
—
157236
THREE RIVERS
PA
Enumeration date
09/30/2005
Last updated
07/09/2007
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