MEDICARE: ERICA WEST PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	RI00733	RI

General Provider Information

NPI Number	:	1588616684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA WEST PT

Provider Business Mailing Address
First Line	:	88 STEWART WAY
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-2752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 POINT JUDITH RD
Second Line	:	SUITE 47
City	:	NARRAGANSETT
State	:	RI
Zip	:	02882-3477
Country	:	US
Telephone Number	:	401-789-2077
Fax Number	:	401-782-4762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/18/2013

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Directions to “ ERICA WEST PT” Practice Location

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