Individual
ERIC CAMPBELL OETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
191 BEALE ST, MEMPHIS, TN 38103-3715
(478) 972-1445
Mailing address
191 BEALE ST, MEMPHIS, TN 38103-3715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012352
GA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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