Provider Demographics
NPI:1427392109
Name:CALL, ERICA DONN CARLYN (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:DONN CARLYN
Last Name:CALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:DONNA CARLYN
Other - Last Name:STUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2315 SUNSET BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2496
Mailing Address - Country:US
Mailing Address - Phone:740-266-4908
Mailing Address - Fax:740-264-4376
Practice Address - Street 1:2315 SUNSET BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2496
Practice Address - Country:US
Practice Address - Phone:740-266-4908
Practice Address - Fax:740-264-4376
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT014061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT014061OtherOHIO LICENSE