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Individual
EDWARD ERICKSEN
Active
Individual
EDWARD ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027646
IL
225100000X
Physical Therapist
13706
WI
225100000X
Physical Therapist
PT.014702
OH
Other
Enumeration date
08/26/2014
Last updated
02/20/2024
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