Organization
PHYSICAL THERAPY SERVICES OF ERIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN DANIEL LABROZZI PT (MANAGING MEMBER)
(814) 397-6872
Entity
Organization
Contact information
Practice address
2374 VILLAGE COMMON DR, SUITE 101, ERIE, PA 16506-7201
(814) 835-0300
(814) 835-0302
Mailing address
PO BOX 9897, ERIE, PA 16505
(814) 397-6872
(814) 835-0302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT006529L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019443950003
—
PA
01
—
1302096
PA BLUE SHIELD
PA
Enumeration date
06/12/2006
Last updated
11/21/2016
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