| Doctor Name: | DR. ERIC SCOTT PELLETIER |
| NPI Number: | 1093095911 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT DPT PCS C/NDT |
| License Number: | 40QA01276100 |
| Business Practice Address: | 103 Pemberton Ct North Wales, PA - 194544230 |
| Business Phone Number: | 2158553216 |
| Business Fax Number: | |
| Mailing Address: | 103 Pemberton Ct, NORTH WALES |
| State: | PA |
| Postal Code: | 194544230 |
| Phone Number: | 2158553216 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2011 |
| NPI Last Update Date: | 08/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA01276100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |