NPI 1346033917
Alicia Ann Ericson, CPO
Practice location
- Address
- 3701 Pender Dr STE 115, Fairfax, VA 22030-6049
- Phone
- (571) 470-2020
Registered specialties (2)
Orthotist
Primary
Prosthetist
Registry record
- NPI
- 1346033917
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 May 2025
- Record last updated
- 27 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.