Individual
DR. BRIAN STUART ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
500 PARK AVE, ORANGE PARK, FL 32073-3132
(904) 278-7890
Mailing address
500 PARK AVE, ORANGE PARK, FL 32073-3132
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT33795
FL
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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