Individual
SAMANTHA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10590
MN
225100000X
Physical Therapist
3494
NE
Other
Enumeration date
10/31/2015
Last updated
10/26/2017
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