Erica Beth Beter, PT
Physical Therapist in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1104048461
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104048461
- Entity type
- Individual (NPI-1)
- Name
- Miss Erica Beth Beter
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT008167 | GA | Yes |
Practice location
333 First Street North, Suite 200Jacksonville Beach, FL 32250-6939
Phone 800-940-5038
Mailing address
370 Azalea DriveMandeville, LA 70471-2903
Phone 404-558-4779
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