| NPI | 1871540179 |
|---|---|
| Former Name | ERICA LYNNE STUCKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013059) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-08-03 |