Individual
MISS ERICA MICHELLE VICTORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2040 JOHN ROLFE PKWY, RICHMOND, VA 23238-8111
(804) 754-0916
Mailing address
2040 JOHN ROLFE PKWY, RICHMOND, VA 23238-8111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4141
CT
225X00000X
Occupational Therapist
Primary
OT010394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
09/30/2013
Last updated
01/22/2024
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