Individual
JENNIFER ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9370 OLDE 8 RD, NORTHFIELD, OH 44067-2046
(330) 467-0580
Mailing address
9370 OLDE 8 RD, NORTHFIELD, OH 44067-2046
(330) 467-0580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA.04772
OTA LICENSE
—
Enumeration date
07/26/2016
Last updated
07/26/2016
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