Individual
ERICA FOUNDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
744 W LANCASTER AVE, SUITE 125, WAYNE, PA 19087-2523
(610) 688-7776
(610) 688-4117
Mailing address
12 W RIDGE RD, MEDIA, PA 19063-2562
(610) 565-6652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008037L
PA
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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