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1225439060
LISA NICOLE ERICKSON
ORLAND PARK, IL
NPI
1225439060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070020788)
Enumeration Date
2014-09-11
Last Update Date
2017-02-04
Business Address
-- LISA NICOLE ERICKSON DPT
15127 S LA GRANGE RD
ORLAND PARK, IL 60462-3708
Phone number: 708-403-4497
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Mailing Address
-- LISA NICOLE ERICKSON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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