Individual
ALICIA ANN ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
3701 PENDER DR STE 115, FAIRFAX, VA 22030-6049
(571) 470-2020
Mailing address
3701 PENDER DR STE 115, FAIRFAX, VA 22030-6049
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO04168
—
224P00000X
Prosthetist
CPO04168
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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