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1790060143
TESSA ERICKSON
WASILLA, AK
NPI
1790060143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 1890)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- TESSA ERICKSON PTA
3400 N BROCTON AVE
WASILLA, AK 99654-1229
Phone number: 907-841-7124
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Mailing Address
-- TESSA ERICKSON PTA
400 S TIMBERWOOD CIR
PALMER, AK 99645-8937
Phone number: 906-370-5990
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