Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 16, 2007
License(s)
PT016504 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 136 EAST AVE | Erie, PA 16507-1842 | 814-453-7661 |
| LOCATION | 136 EAST AVE | Erie, PA 16507-1842 | 814-453-7661 |
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