Individual
JANE E ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
Mailing address
123 HOTEL RD, AUBURN, ME 04210-9048
(207) 786-9974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1493
ME
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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