Individual
TESSA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3400 N BROCTON AVE, WASILLA, AK 99654-1229
(907) 841-7124
Mailing address
400 S TIMBERWOOD CIR, PALMER, AK 99645-8937
(906) 370-5990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1890
AK
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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