Individual
KEITH ALLEN EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT, CHAMBERSBURG, PA 17201-1720
(717) 267-7715
(717) 267-7463
Mailing address
50 HADE RD, SAINT THOMAS, PA 17252-9614
(717) 369-5801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001426L
PA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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