| NPI | 1679132047 |
|---|---|
| Former Name | ROSEANNE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018051) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-05-05 |