Individual
MR. MATTHEW STEPHEN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9703
(406) 442-6410
(406) 447-7916
Mailing address
1036 VINE ST, MISSOULA, MT 59802-4820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2144
MT
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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