Individual
RANDALL W ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
1492 W ANTELOPE DR, STE 100, LAYTON, UT 84041-1139
(801) 825-8091
(801) 825-8142
Mailing address
1492 W ANTELOPE DR, STE 100, LAYTON, UT 84041
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
48065542401
UT
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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