Individual
ERICKSON MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5980 W 71ST ST STE 102, INDINAPOLIS, IN 46278
(317) 388-0800
(317) 388-0805
Mailing address
5980 W 71ST ST STE 102, INDINAPOLIS, IN 46278
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008659
CT
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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