Individual
DR. ERICKA D WIGFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 SPRING HARBOR DR, COLUMBUS, GA 31904-4619
(706) 576-6000
Mailing address
609 OLD WHEAT ST NE, ATLANTA, GA 30312-1926
(615) 423-8001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010312
GA
225100000X
Physical Therapist
PT29913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT010312
GEORGIA STATE BOARD OF PHYSICAL THERAPY
GA
01
—
PT29913
FLORIDA STATE BOARD OF PHYSICAL THERAPY
FL
Enumeration date
10/07/2015
Last updated
10/07/2015
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