Individual
ERIC LANE GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7873145
NCDL
NC
Enumeration date
10/10/2018
Last updated
10/10/2018
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