Individual
ERIC LEE WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 S DUPONT BLVD, MILFORD, DE 19963-1758
(302) 422-8700
Mailing address
169 SILAS RIDGE LN, ARARAT, NC 27007-8466
(743) 444-2705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP025142A
DE
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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