Provider Demographics
NPI:1659135390
Name:BESSER, ERICA LENA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LENA
Last Name:BESSER
Suffix:
Gender:F
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 1:9055 E CATALINA HWY APT 12202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-7425
Mailing Address - Country:US
Mailing Address - Phone:217-413-1847
Mailing Address - Fax:
Practice Address - Street 1:6303 E BROADWAY BLVD STE 141
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3548
Practice Address - Country:US
Practice Address - Phone:520-355-6931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-033468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist