Provider Demographics
NPI:1497125173
Name:HSIA, ERIC C (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:HSIA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 KIRKWOOD HWY STE 111
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5104
Mailing Address - Country:US
Mailing Address - Phone:302-929-6398
Mailing Address - Fax:
Practice Address - Street 1:3640 KIRKWOOD HWY STE 111
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5104
Practice Address - Country:US
Practice Address - Phone:302-929-6398
Practice Address - Fax:302-639-6399
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1263715225100000X
NJ40QA01637100225100000X
DEJ1-0003793225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist