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NPI Code Detail

MEDICARE: ERNEST W EBERLING JR. PT

MEDICARE: ERNEST W EBERLING JR. PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1033OR

General Provider Information

NPI Number : 1043281645
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNEST W EBERLING JR. PT
Provider Business Mailing Address
First Line : 1208 BEALL LN
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-1573
Country : US
Telephone Number : 541-664-5151
Fax Number :
Provider Business Practice Location Address
First Line : 512 MANZANITA ST
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-2352
Country : US
Telephone Number : 541-664-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 06/27/2012

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Directions to “ ERNEST W EBERLING JR. PT” Practice Location

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