Ericson, Scott Allen

Ericson, Scott Allen is an individual health care provider with primary practice located at 960 S Rapids Rd , Manitowoc WI 54220-4146. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ericson, Scott Allen can be contacted via phone (920) 684-1144.

Contact Information

Primary practice address
960 S Rapids Rd Manitowoc WI 54220-4146
Phone: (920) 684-1144
Fax: (920) 482-0651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 418-019 Wisconsin

Profile Details

NPI number 1861606899
LBN Legal business name Ericson, Scott Allen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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