| NPI | 1871848754 |
|---|---|
| Former Name | ERICA RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39108) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-10-12 |