Individual
ERICA NESVIG PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 LAFRANIER RD, TRAVERSE CITY, MI 49686-4918
(231) 947-0506
(231) 947-0744
Mailing address
226 PONEMAH TRL, BUCKLEY, MI 49620-9554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011658
MI
Other
Enumeration date
03/07/2007
Last updated
01/27/2016
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