Individual
MRS. TRACEY L ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 STATE HWY 344, EDGEWOOD, NM 87015
(505) 431-3822
(505) 431-3773
Mailing address
PO BOX 1780, EDGEWOOD, NM 87015
(505) 431-3822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2023-2218
NM
Other
Enumeration date
11/01/2006
Last updated
03/17/2025
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