NPI 1376076562

Cassidy Ericksen

Practitioner Occupational Therapy Assistant Maplewood, MN

Practice location

Address: 1670 Legacy Pkwy E, Maplewood, MN 55109-5469
Phone: (952) 697-0627
Fax: (479) 201-2084

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 202015 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1376076562
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2017
Record last updated: 5 Apr 2017

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.