Individual
ERICA NICOLE CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 PORTAGE ST, KALAMAZOO, MI 49001-3728
(269) 382-1255
Mailing address
411 N AUGUSTA DR, AUGUSTA, MI 49012-9697
(269) 830-7920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005015
MI
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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