Provider Demographics
NPI:1881809531
Name:ORDNUNG, ERIC JOHN (LPTA)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JOHN
Last Name:ORDNUNG
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 CRESTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4409
Mailing Address - Country:US
Mailing Address - Phone:828-252-2708
Mailing Address - Fax:
Practice Address - Street 1:46 CRESTMONT AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4409
Practice Address - Country:US
Practice Address - Phone:828-252-2708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1523225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant