Individual
PHILIP EARL GERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
820 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 724-4870
Mailing address
205 AUDREY DR, LITITZ, PA 17543-8726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006781
PA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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