Individual
JANA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1400 N MAIN ST, GIDDINGS, TX 78942-1360
(979) 542-1755
(979) 542-4756
Mailing address
1400 N MAIN ST, GIDDINGS, TX 78942-1360
(979) 542-1755
(979) 542-4756
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208131
TX
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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