Individual
ERIC KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
46 TINA WAY, BARNEGAT, NJ 08005-1364
(609) 698-3986
Mailing address
46 TINA WAY, BARNEGAT, NJ 08005-1364
(609) 698-3986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00227400
NJ
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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