Individual
EDWARD J CORBACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
495 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-2705
(484) 529-7470
Mailing address
82 TUNNEL RD, POTTSVILLE, PA 17901-3869
(570) 622-5455
(570) 622-5493
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT006923-L
PA
225100000X
Physical Therapist
Primary
PT006923L
PA
Other
Enumeration date
06/13/2006
Last updated
03/24/2022
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