Individual
ALEXANDRA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1968
ND
225100000X
Physical Therapist
Primary
2045
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1968
ND STATE LICENSE
ND
Enumeration date
06/12/2015
Last updated
06/10/2019
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