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ERICA ARCHIE

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1609467612

Individual Registrant:
 ERICA  ARCHIE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
80 SEVEN HILLS BLVD STE 107  DALLAS, GA 30132-0575 US
Tel: 678-402-0515  Fax: --

Contact information for business:
5501 SEVILLE LN  MONTGOMERY, AL 36116-8871 US
Tel: --  Fax: --

Registration Information:
NPI: 1609467612
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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