Individual
ANTHONY EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
9110 DUBLIN RD, POWELL, OH 43065-9588
(614) 932-0303
Mailing address
2386 SUNLADEN DR, GROVE CITY, OH 43123-1585
(614) 539-4482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH.03331431
OH
224Z00000X
Occupational Therapy Assistant
03102
OH
Other
Enumeration date
06/07/2007
Last updated
12/23/2011
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