Organization
FORT-STAN LLC
Active
Other names
ANIMATE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE MARIE MCCLAY MPT (OWNER)
(814) 602-8771
Entity
Organization
Contact information
Practice address
1920 W 8TH ST, ERIE, PA 16505-4935
(814) 456-1097
(814) 287-9375
Mailing address
1920 W 8TH ST, ERIE, PA 16505-4935
(814) 456-1097
(814) 287-9375
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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