Individual
DEBORAH GISELLE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
1200 MAINSTREET, HOPKINS, MN 55343-4538
(612) 964-7357
Mailing address
1200 MAINSTREET, HOPKINS, MN 55343-4538
(612) 964-7357
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0266
MN
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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