MRS. Mary Wanda Erickson, O.T.R., L

NPI #1700939386 in Fort Snelling, Minnesota

Provider Information

NPI Number: 1700939386
Entity Type: Individual
Name: MRS. Mary Wanda Erickson, O.T.R., L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.R., L
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 506 ROEDER CIR
Address 2: 88TH RRC SURGEON'S OFFICE
City: Fort Snelling
State: Minnesota
ZIP Code: 55111-4017
Phone: (612) 713-3254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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