Organization Name: | EBERLES PHYSICAL THERAPY INC |
NPI Number: | 1598732034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE GOURLEY (RECEPTIONIST) |
Mailing Address: | 103 Walker Dr Edinboro |
State: | PA US |
Postal Code: | 164122237 |
Phone Number: | 8147347444 |
Fax Number: | 8147348509 |
NPI Enumeration Date: | 03/03/2006 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |