Individual
MR. DAVID G ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
250 E CAROLINE ST, SAN BERNARDINO, CA 92408-3747
(909) 528-1471
Mailing address
PO BOX 186, FOREST FALLS, CA 92339-0186
(909) 528-1471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8777
CA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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