Individual
ERICA SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7425 OLD SAUK RD UNIT 204, MADISON, WI 53717-1252
(218) 277-9524
Mailing address
7425 OLD SAUK RD UNIT 204, MADISON, WI 53717-1252
(218) 277-9524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202575
MN
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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