Individual
KJERSTEN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9325 MAGIC FLOWER AVE, LAS VEGAS, NV 89134-6048
(702) 423-2960
Mailing address
9325 MAGIC FLOWER AVE, LAS VEGAS, NV 89134-6048
(702) 423-2960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0697
NV
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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