Individual
MR. GREGORY JEBLONSKI
Active
Individual
MR. GREGORY JEBLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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
Update your record
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