Individual
ELISE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9300
Mailing address
2503 COLBY ST APT 236, DALLAS, TX 75201-2056
(952) 250-4965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123713
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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