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ERICSON TABACO
Physical Therapist
NPI: 1568707628IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
J10002324(DE)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 1997
Contact & Hours
- Address
- 17756 WHALING CT
LEWES, DE 19958 - Phone
- (302) 827-2133
Quick Facts
- NPI
- 1568707628
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 29
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