Individual
ERIC FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
105 VINEYARD WAY, SUITE 100, WEST GROVE, PA 19390-8849
(610) 869-5792
(610) 869-5795
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24112
MD
225100000X
Physical Therapist
Primary
PT023486
PA
Other
Enumeration date
08/06/2012
Last updated
07/25/2014
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