MEDICARE: ERICA MAIER

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	225200000X	Physical Therapy Assistant	A3839	MD

General Provider Information

NPI Number	:	1427309483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MAIER

Provider Business Mailing Address
First Line	:	3323 SAINT JAMES PL
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3323 SAINT JAMES PL
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3717
Country	:	US
Telephone Number	:	703-298-2030
Fax Number	:

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

Provider Enumeration Date	:	09/30/2012
Last Update Date	:	04/17/2013

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