Doctor Name: | JOYCE CARIN ERICKSON |
NPI Number: | 1093905796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA00910500 |
Business Practice Address: | 776 Shrewsbury Ave Tinton Falls, NJ - 077243006 |
Business Phone Number: | 7325422862 |
Business Fax Number: | 7325426690 |
Mailing Address: | 776 Shrewsbury Ave, TINTON FALLS |
State: | NJ |
Postal Code: | 077243006 |
Phone Number: | 7325422862 |
Fax Number: | 7325426690 |
NPI Enumeration Date: | 07/28/2007 |
NPI Last Update Date: | 07/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00910500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |