Erica Reddick

Individual provider Active NPI Prosthetist · Aliquippa, PA

NPI 1093387698 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1093387698
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetist 224P00000X
License
2000002879 (PA)
Practice address
537 Highland Ave
Aliquippa, PA 15001-3719
Phone
(412) 513-1617
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2000002879PAMDProsthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
224P00000X 2000002879 PA Yes

Addresses

Primary practice location

537 Highland Ave
Aliquippa, PA 15001-3719

Mailing address

537 Highland Ave
Aliquippa, PA 15001-3719

Other providers in Aliquippa, PA

All providers in Aliquippa, PA · Prosthetist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.