RICHARD S ERICKSEN

SALT LAKE CITY, UT
NPI1922207307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  2202581-4201)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
-- RICHARD S ERICKSEN
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
Mailing Address
-- RICHARD S ERICKSEN
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311