Individual
ALAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 GROFF AVE, ELIZABETHTOWN, PA 17022-2824
(717) 201-2716
Mailing address
525 GROFF AVE, ELIZABETHTOWN, PA 17022-2824
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
070.019226
IL
222Q00000X
Developmental Therapist
PT020051
PA
222Q00000X
Developmental Therapist
Primary
PT26976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.019226
ILLINOIS STATE BOARD OF PHYSICAL THERAPY
IL
01
—
PT020051
PENNSYLVANIA STATE BOARD OF PHYSICAL THERAPY
PA
01
—
PT26976
FLORIDA BOARD OF PHYSICAL THERAPY
FL
Enumeration date
09/24/2012
Last updated
09/24/2012
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