Individual
MR. MICHELLE L ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1314 3RD AVE, NEBRASKA CITY, NE 68410-1930
(402) 873-8918
Mailing address
1314 3RD AVE, NEBRASKA CITY, NE 68410-1930
(402) 873-8918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1968
NE
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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