Individual
MR. GREGORY JEBLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3400 ARAMINGO AVE, PHILADELPHIA, PA 19134-4531
(215) 203-1930
(215) 203-1931
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-018686
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102415114-0001
—
PA
01
—
2147754
HIGHMARK BLUE SHIELD
PA
01
—
30069505
KEYSTONE MERCY
PA
01
—
301069
UNISON
—
01
—
3760849000
IBC
PA
Enumeration date
08/17/2007
Last updated
10/13/2010
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