Individual
ERICKA DEANNA PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4761 WARD BLVD, WILSON, NC 27893-4359
(252) 885-5560
Mailing address
7535 MATIE RD, ROCKY MOUNT, NC 27803-9118
(252) 885-5560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3624
NC
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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