Individual
ERIC STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
212 THOMPSON ST STE B, HENDERSONVILLE, NC 28792-2895
(828) 698-6774
(828) 698-4580
Mailing address
PO BOX 1668, SHELTON, WA 98584-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13272
NC
225100000X
Physical Therapist
PT8379
WA
Other
Enumeration date
11/10/2006
Last updated
04/08/2020
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