Penelope Jo Erickson MS, OTR, SWC

NPI 1053652701 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1053652701
Gender Female
Enumeration Date 03/05/2013
Last Updated 03/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1900 E LOS ANGELES AVE
SIMI VALLEY CA, 93065-6560, US
Phone (805) 955-7129
Fax
Business Location
13561 ARROYO DALE LN
SAN DIEGO CA, 92130-5789, US
Phone
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State California
License Number 1867
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According to our database, Mrs. Penelope Jo Erickson MS, OTR, SWC NPI is 1053652701, taxonomy code is 225XP0200X and license number is 1867, license state is located at California. Penelope Jo Erickson MS, OTR, SWC physically located at 1900 E Los Angeles Ave, Simi Valley CA, 93065-6560. NPI Number Penelope Jo Erickson MS, OTR, SWC has the Individual type.

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1053652701 NPI number is provided on an as is basis without warranty of any kind. 1053652701 is maintained by the National Plan & Provider Enumeration System. The contents of Penelope Jo Erickson MS, OTR, SWC are for informational purposes only.