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Individual

PAIGE M ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
215 2ND ST SE, MINOT, ND 58701
(701) 857-4400
(701) 857-4432
Mailing address
215 2ND ST SE, MINOT, ND 58701
(701) 857-4400
(701) 857-4432

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1847
ND
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1482121
ND
Enumeration date
11/18/2020
Last updated
10/18/2023
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