JACOB ERICKSON

PLANO, TX
NPI1386282242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1344982)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2019-12-11
Last Update Date2021-05-06
Business Address
JACOB ERICKSON
6921 INDEPENDENCE PKWY
PLANO, TX 75023-8337
Phone number: 877-609-0123
Mailing Address
JACOB ERICKSON
7825 3RD ST N STE 105
OAKDALE, MN 55128-5444
Phone number: 877-609-0123