Amy Marie Ericksen, D.T.
Developmental Therapist in Cherry Valley, IL. Individual provider (NPI-1).
NPI number1982808077
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982808077
- Entity type
- Individual (NPI-1)
- Name
- Amy Marie Ericksen
- Credential
- D.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | AE05370202P | IL | Yes |
Practice location
3718 Gnarl Tree LnCherry Valley, IL 61016-9678
Phone 815-742-8272
Mailing address
3718 Gnarl Tree LnCherry Valley, IL 61016-9678
Phone 815-742-8272
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.