Provider Demographics
NPI:1326069410
Name:COIL, ERICA M (PTA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:M
Last Name:COIL
Suffix:
Gender:F
Credentials:PTA
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Mailing Address - Street 1:3301 BERRYWOOD DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6517
Mailing Address - Country:US
Mailing Address - Phone:573-449-8771
Mailing Address - Fax:573-449-6563
Practice Address - Street 1:2625 FAIRWAY DR
Practice Address - Street 2:SUITE C
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-3936
Practice Address - Country:US
Practice Address - Phone:573-592-7750
Practice Address - Fax:573-592-7751
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004005135225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant