MEDICARE: ERIKA RENEE ROLLYSON DPT

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	2251N0400X	Neurology Physical Therapist	PT014285	OH

General Provider Information

NPI Number	:	1225460868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA RENEE ROLLYSON DPT

Provider Business Mailing Address
First Line	:	7677 YANKEE ST STE 210
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3475
Country	:	US
Telephone Number	:	937-477-3483
Fax Number	:

Provider Business Practice Location Address
First Line	:	7677 YANKEE ST STE 210
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3475
Country	:	US
Telephone Number	:	937-477-3483
Fax Number	:

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

Provider Enumeration Date	:	08/06/2013
Last Update Date	:	08/07/2023

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