Individual
ERICKA MICHELLE NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1670 LEGACY PKWY E, MAPLEWOOD, MN 55109-5469
(970) 381-2562
Mailing address
211 7TH ST E APT 101, SAINT PAUL, MN 55101-2383
(970) 381-2562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105807
MN
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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