Individual
CHRISTOPHER QUIAMBAO VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
560 E 3RD ST, ERIE, PA 16507-1753
(814) 878-4965
(814) 871-4617
Mailing address
560 E 3RD ST, ERIE, PA 16507-1753
(814) 878-4965
(814) 871-4617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011516L
PA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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