STEPHANIE NICOLE ERICKSON — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, WI)
STEPHANIE NICOLE ERICKSON — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, WI) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: STEPHANIE NICOLE ERICKSON; Type: Individual; NPI: 1003112400.
| Name | STEPHANIE NICOLE ERICKSON |
|---|---|
| Type | Individual |
| NPI | 1003112400 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | WI |
| Enrollment ID | I20150911001460 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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