Provider Demographics
NPI:1083987192
Name:GADELMEYER, ERICA LYNN (ATC, LAT, MS)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:GADELMEYER
Suffix:
Gender:F
Credentials:ATC, LAT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-2382
Mailing Address - Country:US
Mailing Address - Phone:412-779-1153
Mailing Address - Fax:
Practice Address - Street 1:6001 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-2574
Practice Address - Country:US
Practice Address - Phone:412-397-4916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART004962174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist