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Individual

KATHERINE TERESA ERICSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
820 S MCCLELLAN ST STE 118, SPOKANE, WA 99204-2446
(509) 838-7100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
115201
IA
225X00000X
Occupational Therapist
1294
SD
225X00000X
Occupational Therapist
Primary
OT61422182
WA

Other

Enumeration date
07/13/2022
Last updated
08/11/2024
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