Individual
ERIC WILLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 867-7336
Mailing address
4110 BRIARGATE PKWY, STE 300, COLORADO SPRINGS, CO 80920-7837
(443) 386-4880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012040
CO
Other
Enumeration date
06/01/2009
Last updated
01/16/2017
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