Individual
LAURA J ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
540 E JEFFERSON STREET, STE. 302, IOWA CITY, IA 52245
(319) 339-3611
(319) 339-3878
Mailing address
2401 TOWNCREST DRIVE, IOWA CITY, IA 52240
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1093
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
07/22/2009
Last updated
08/07/2012
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