Organization
EBERLES PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE GOURLEY (RECEPTIONIST)
(814) 734-7444
Entity
Organization
Contact information
Practice address
103 WALKER DR, EDINBORO, PA 16412-2237
(814) 734-7444
(814) 734-8509
Mailing address
103 WALKER DR, EDINBORO, PA 16412-2237
(814) 734-7444
(814) 734-8509
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019629100001
—
PA
Enumeration date
03/03/2006
Last updated
07/21/2010
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