Individual
ERIC C FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
12416 66TH ST, LARGO, FL 33773-3430
(727) 547-4700
Mailing address
12416 66TH ST, LARGO, FL 33773-3430
(727) 547-4700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20890
ZZ
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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