Individual
ERIC THOMAS FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3107 WESTHILL DR, WAUSAU, WI 54401-3774
(715) 842-0575
Mailing address
4405 ASHLAND AVE, WAUSAU, WI 54403-2096
(920) 255-3580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1908-19
WI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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