Individual
DEVIN EBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
7 OXFORD AVE, WEST LAWN, PA 19609-2450
(610) 401-4302
Mailing address
7 OXFORD AVE, WEST LAWN, PA 19609-2450
(610) 401-4302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000419
PA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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