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Edward J Corbacio, P.T.

Physical Therapist in Pottsville, PA. Individual provider (NPI-1).

NPI number1922041508
StatusActive
Last updated in NPPESMar 24, 2022

Details

NPI
1922041508
Entity type
Individual (NPI-1)
Name
Edward J Corbacio
Credential
P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2006
Certification date
Mar 24, 2022
Last updated
Mar 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT006923LPAYes
208100000X Physical Medicine & RehabilitationPT006923-LPA

Practice location

495 N Claude A Lord Blvd
Pottsville, PA 17901-2705

Phone 484-529-7470

Mailing address

82 Tunnel Rd
Pottsville, PA 17901-3869

Phone 570-622-5455 · Fax 570-622-5493

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