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Individual

KRISTINE M ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1640 E SUMNER ST, HARTFORD, WI 53027
(262) 670-7550
Mailing address
1640 E SUMNER ST, HARTFORD, WI 53027
(262) 670-7550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3624
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40252000
WI
Enumeration date
03/19/2007
Last updated
07/08/2007
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