Individual
TERESA MARIE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
104 N GRIFFIN ST, GRAND HAVEN, MI 49417-1540
(970) 370-3386
Mailing address
104 N GRIFFIN ST, GRAND HAVEN, MI 49417-1540
(970) 370-3386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003977
MI
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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