Individual
ERIN W PACIFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
910 SAWMILL RD, LAUREL, MS 39440-3961
(601) 342-5948
(601) 342-2048
Mailing address
910 SAWMILL RD, LAUREL, MS 39440-3961
(601) 428-2004
(601) 428-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4896
STATE LICENSE
MS
Enumeration date
02/16/2012
Last updated
05/08/2017
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