Provider Demographics
NPI:1154561181
Name:WEBER, ERIKA (PT)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1832
Mailing Address - Country:US
Mailing Address - Phone:732-533-5193
Mailing Address - Fax:732-451-3615
Practice Address - Street 1:1676 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-1832
Practice Address - Country:US
Practice Address - Phone:732-533-5193
Practice Address - Fax:732-451-3615
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0221142251P0200X
NJ40QA011432002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics