Individual
ERIKA L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4897 STATE ROUTE 209, ELIZABETHVILLE, PA 17023-8455
(717) 362-8810
(717) 362-3340
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT002409
PA
225100000X
Physical Therapist
Primary
PT019999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026217670001
—
PA
Enumeration date
06/25/2009
Last updated
03/04/2019
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