Individual
ERICA HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT-LANA
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1596
(574) 753-1380
(574) 753-1589
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1596
(574) 753-1380
(574) 753-1589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012159A
IN
Other
Enumeration date
05/26/2016
Last updated
12/28/2021
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