Provider Demographics
NPI:1326335027
Name:HOSKEN, ERICA LYNN SILVERMAN (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN SILVERMAN
Last Name:HOSKEN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2126 COUNCIL BLUFF CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-4130
Mailing Address - Country:US
Mailing Address - Phone:214-498-6529
Mailing Address - Fax:
Practice Address - Street 1:3400 MCCLURE BRIDGE RD, BLD D,STE A
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3009
Practice Address - Country:US
Practice Address - Phone:678-671-6114
Practice Address - Fax:855-655-5261
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPT010291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116873OtherMEDICARE PTAN