Individual
ERIC ANTHONY VIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,PT
Contact information
Practice address
1525 E WINDMILL LN STE 202, LAS VEGAS, NV 89123-1903
(702) 202-1280
(702) 361-8596
Mailing address
515 ASH ST, SUSANVILLE, CA 96130-3711
(530) 257-7711
(530) 257-2170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171080100
OWCP PROVIDER NUMBER
CA
Enumeration date
10/26/2005
Last updated
04/19/2022
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