Provider Demographics
NPI:1023313525
Name:ZABICKI, ERICKA LEANNE (MPT)
Entity type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:LEANNE
Last Name:ZABICKI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:LEANNE
Other - Last Name:MCCARDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47085 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48051-2761
Mailing Address - Country:US
Mailing Address - Phone:586-598-1247
Mailing Address - Fax:586-598-1260
Practice Address - Street 1:47085 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48051-2761
Practice Address - Country:US
Practice Address - Phone:586-598-1247
Practice Address - Fax:586-598-1260
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist