Individual
MRS. PENELOPE JO ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR, SWC
Contact information
Practice address
1900 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-6560
(805) 955-7129
Mailing address
13561 ARROYO DALE LN, SAN DIEGO, CA 92130-5789
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1867
CA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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