Individual
SAMANTHA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
4434 19TH ST S, MOORHEAD, MN 56560-3097
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2211
ND
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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