Provider Demographics
NPI:1821537119
Name:HUNTER, ERICA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HUNTER
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 1:1230 N FALL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:WY
Mailing Address - Zip Code:83014-6805
Mailing Address - Country:US
Mailing Address - Phone:307-699-7667
Mailing Address - Fax:802-497-0923
Practice Address - Street 1:20 KIMBALL AVE STE 120
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6805
Practice Address - Country:US
Practice Address - Phone:802-595-0690
Practice Address - Fax:802-497-0923
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0125875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist