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Individual

ERICA MARIE ATTERBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, ATC, LAT

Contact information

Practice address
1002 DIAMOND RDG STE 800, JEFFERSON CITY, MO 65109-7906
(573) 761-9360
Mailing address
2518 HIDDEN VALLEY DR, HOLTS SUMMIT, MO 65043-2524
(314) 974-2235

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016037444
MO
2255A2300X
Athletic Trainer
2013005680
MO

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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