Individual
LIANNA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
4600 BOWLING BLVD # 3, LOUISVILLE, KY 40207-5155
(502) 721-7500
Mailing address
1405 LA FONTENAY CT, LOUISVILLE, KY 40223-3046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006435
KY
225100000X
Physical Therapist
8897
AZ
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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