Individual
PAUL MATTHIAS ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 PEACH ST STE 101, ERIE, PA 16507-1423
(814) 877-6195
Mailing address
2738 W 34TH ST, ERIE, PA 16506-3378
(814) 392-1617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002107A
PA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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