Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICKSON MENDOZA
Active Sole ProprietorERICKSON MENDOZA is a Physical Therapy Assistant healthcare provider located in INDINAPOLIS, Indiana. NPI 1407105687 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · INDINAPOLIS, IN
Registration Details
- NPI Number
- 1407105687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2012 (13.953795842762 yrs)
- Last Updated
- Sep 5, 2012
- License
-
008659 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5980 W 71ST ST STE 102INDINAPOLIS, IN, 46278Browse IN providers · Browse ZIP 46278
- Phone
- 3173880800
- Fax
- 3173880805
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.