Sally Ericksen OT

NPI 1750475083 - Occupational Therapist - 225X00000X

NPI Details
NPI 1750475083
Gender Female
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
540 KINGSLEY AVE
ORANGE PARK FL, 32073-4847, US
Phone (904) 264-2156
Fax
Business Location
2194 LAKESIDE DR E
FERNANDINA BEACH FL, 32034-5232, US
Phone (904) 261-2329
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Florida
License Number OT77
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According to our database, Sally Ericksen OT NPI is 1750475083, taxonomy code is 225X00000X and license number is OT77, license state is located at Florida. Sally Ericksen OT physically located at 540 Kingsley Ave, Orange Park FL, 32073-4847. NPI Number Sally Ericksen OT has the Individual type.

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1750475083 NPI number is provided on an as is basis without warranty of any kind. 1750475083 is maintained by the National Plan & Provider Enumeration System. The contents of Sally Ericksen OT are for informational purposes only.