Individual
MR. JONATHAN E ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21525 HWY 410 E, BONNEY LAKE, WA 98391-4101
(253) 826-8520
(253) 826-8522
Mailing address
21525 HWY 410 E STE B, BONNEY LAKE, WA 98391-4101
(253) 826-8520
(253) 826-8522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8411
WA
Other
Enumeration date
11/01/2006
Last updated
05/13/2009
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