Individual
ERIKA ANN HIESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28991 OLD TOWN FRONT ST STE 101, TEMECULA, CA 92590-2858
(951) 556-8157
Mailing address
38375 SEVILLA AVE, MURRIETA, CA 92563-6292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51264
CA
Other
Enumeration date
08/10/2021
Last updated
08/11/2021
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