Healthcare Provider Details

I. General information

NPI: 1487639936
Provider Name (Legal Business Name): DEBORAH C VRABLIK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: DEBORAH C MCLAREN PT

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 WATER ST
MEADVILLE PA
16335-3444
US

IV. Provider business mailing address

12878 RAYMOND DR APT 2D
MEADVILLE PA
16335-8466
US

V. Phone/Fax

Practice location:
  • Phone: 814-337-2345
  • Fax: 814-337-0355
Mailing address:
  • Phone: 814-573-0738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016594
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: