| Doctor Name: | MR. COREY PAUL FEDOR |
| NPI Number: | 1053529503 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT012994L |
| Business Practice Address: | 2301 Edinboro Rd Erie, PA - 165093409 |
| Business Phone Number: | 8148607117 |
| Business Fax Number: | 8148607157 |
| Mailing Address: | 4826 Avellino Dr, ERIE |
| State: | PA |
| Postal Code: | 165104024 |
| Phone Number: | 8148252174 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT012994L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |