Individual
ERIK ALBERT MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
19208 BRIERCREST TRL, ORLANDO, FL 32833-5522
(321) 695-5167
Mailing address
19208 BRIERCREST TRL, ORLANDO, FL 32833-5522
(321) 695-5167
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15696
FL
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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