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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFF CHARLES ERICKSON

Active

Physical Therapy Assistant · FAIRMONT, WV

Registration Details

NPI Number
1578590394
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (19.859662324857 yrs)
Last Updated
Oct 25, 2013
Licenses
PT010007L (PA)
001468 (WV)

Practice Information

Address
1228 COUNTRY CLUB RD
SUITE 400
FAIRMONT, WV, 265542369
Browse WV providers · Browse ZIP 26554
Phone
3043660461
Fax
3043660497
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FAIRMONT, WV

Name Credential NPI
ERIC A BEARD P.T. 1295739761
MR. JAMES DEMUS PT 1336104736
MR. DEREK ALAN FALKENSTEIN PT 1326097544
ANDREW J. BARRISH PT 1427004191
RENEE RIFFLE MCGINNIS P.T. 1144260183
KELLY B DLUGOS PHYSICAL THERAPIST 1306888797
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.