Individual
ERIC ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
11332 KENSINGTON LN, NORTHPORT, AL 35475-3498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2478
AL
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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