Erickson Pt Enterprises Pllc

NPI #1093253940 in Sandpoint, Idaho

Provider Information

NPI Number
1093253940
Entity Type
Organization
Organization Name
Erickson Pt Enterprises Pllc
Primary Specialty
Physical Therapist
Enumeration Date
Feb 10, 2017
Last Updated
Feb 10, 2017

Practice Location

Address
1005 HIGHWAY 2
State
Idaho
ZIP Code
83864-1702
Phone
(208) 263-1632

Authorized Official

Name
SHAWNA E BENNER-ERICKSON, MPT
Title
OWNER/PHYSICAL THERAPIST
Phone
(208) 263-1632

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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