Provider Demographics
NPI:1811784226
Name:EBY, ERIKA ZARI (LAT, ATC, CES)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ZARI
Last Name:EBY
Suffix:
Gender:
Credentials:LAT, ATC, CES
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:ZARI
Other - Last Name:WANDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC, CES
Mailing Address - Street 1:805 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-9650
Mailing Address - Country:US
Mailing Address - Phone:717-875-6937
Mailing Address - Fax:
Practice Address - Street 1:810 S 4TH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:PA
Practice Address - Zip Code:17517-1139
Practice Address - Country:US
Practice Address - Phone:717-475-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0069982255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer