Individual
BETHA HUNNICUTT ERTZBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
2905 VETERANS MEMORIAL HWY STE 2, RONKONKOMA, NY 11779-7655
(631) 619-8505
Mailing address
2320 ARMSTRONG PARK DR, GASTONIA, NC 28054-4889
(704) 747-6579
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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