Individual
ERICA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6222 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3948
(262) 497-9151
Mailing address
2810 CHARLES ST, RACINE, WI 53402-4108
(262) 497-9151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15159-146
WI
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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