Individual
MS. ERICKA KATHLEEN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
325 RIDGEHAVEN PL, RICHARDSON, TX 75080-2537
(214) 616-2932
(972) 637-9270
Mailing address
PO BOX 830427, RICHARDSON, TX 75083-0427
(214) 616-2932
(972) 637-9270
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1136505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632531-06
—
TX
01
—
8T6079
BLUECROSS BLUESHIELD
TX
Enumeration date
10/03/2006
Last updated
12/10/2021
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