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Individual

ERICA MARIE PANTALEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
9321 W THOMAS RD, PHOENIX, AZ 85037-3387
(802) 864-0015
Mailing address
9321 W THOMAS RD STE 135, PHOENIX, AZ 85037-3389
(623) 264-6040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134494
VT
225100000X
Physical Therapist
LPT-034122
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040.0134494
LICENSE NUMBER
VT
05
LPT-034122
AZ
Enumeration date
11/21/2022
Last updated
09/22/2025
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