Individual
ERIC CHARLES FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
2830 E BROWN RD, SUITE 15, MESA, AZ 85213-5430
(480) 807-3491
(480) 807-3794
Mailing address
2830 E BROWN RD STE 15, MESA, AZ 85213-5432
(480) 807-3491
(480) 807-3794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05561
AZ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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