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NPI Code Detail

MEDICARE: ERS HOLDING MANAGEMENT LLC

MEDICARE: ERS HOLDING MANAGEMENT LLC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1114887189
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERS HOLDING MANAGEMENT LLC
Provider Business Mailing Address
First Line : 2515 E GLENN AVE STE 104
Second Line :
City : AUBURN
State : AL
Zip : 36830-6448
Country : US
Telephone Number : 334-821-2256
Fax Number : 334-826-8082
Provider Business Practice Location Address
First Line : 2515 E GLENN AVE STE 104
Second Line :
City : AUBURN
State : AL
Zip : 36830-6448
Country : US
Telephone Number : 334-821-2256
Fax Number : 334-826-8082
Authorized Official
Title or Position : DIR OF CREDENTIALING & ACC. PAYABLE
Name : PAMELA P VAN ETTEN
Credential :
Telephone Number : 334-799-5853
Provider Enumeration Date : 11/13/2025
Last Update Date : 11/13/2025

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Directions to “ERS HOLDING MANAGEMENT LLC ” Practice Location

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