HEATHER MARIE ERICKSON

APPLETON, WI
NPI1144418468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1440-19)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
-- HEATHER MARIE ERICKSON PTA
3305 N BALLARD RD STE C
APPLETON, WI 54911-9001
Phone number: 920-735-9234
Mailing Address
-- HEATHER MARIE ERICKSON PTA
1704 E CAPITOL DR
APPLETON, WI 54911-8483
Phone number: 920-735-9234