Individual
BRIGITTE NICOLE ERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(937) 415-9100
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-3130
(937) 415-9100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013439
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056724
—
OH
Enumeration date
09/15/2011
Last updated
08/01/2016
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