Erickson, Mia L

Erickson, Mia L is an individual health care provider with primary practice located at 3200 E Camelback Rd Suite 135, Phoenix AZ 85018-2311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Erickson, Mia L can be contacted via phone (602) 954-8473.

Contact Information

Primary practice address
3200 E Camelback Rd Suite 135 Phoenix AZ 85018-2311
Phone: (602) 954-8473
Fax: (602) 954-8494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12364 Arizona

Profile Details

NPI number 1285600858
LBN Legal business name Erickson, Mia L
Credentials P.T., C.H.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 10th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285600858 NPPES
West Virginia MEDICAID 0157703000

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