MS. Erika Fedorsova, PTA
NPI #1053753004 in Whiting, New Jersey
Provider Information
- NPI Number
- 1053753004
- Entity Type
- Individual
- Name
- MS. Erika Fedorsova, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 18, 2013
- Last Updated
- Jul 18, 2013
Practice Location
- Address
- 149 MOCKINGBIRD WAY
- City
- Whiting
- State
- New Jersey
- ZIP Code
- 08759-3709
- Phone
- (732) 350-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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