Amy Marie Ericksen, D.T.
NPI #1982808077 in Cherry Valley, Illinois
Provider Information
- NPI Number
- 1982808077
- Entity Type
- Individual
- Name
- Amy Marie Ericksen, D.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- D.T.
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3718 GNARL TREE LN
- City
- Cherry Valley
- State
- Illinois
- ZIP Code
- 61016-9678
- Phone
- (815) 742-8272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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