| NPI | 1457573982 |
|---|---|
| Former Name | CAROL F. ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 838) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-08-30 |