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NPI Code Detail

MEDICARE: JULIA MARIE ERICKSON

MEDICARE: JULIA MARIE ERICKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist108076MN

General Provider Information

NPI Number : 1548115744
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA MARIE ERICKSON
Provider Business Mailing Address
First Line : 6545 FLYING CLOUD DR STE 201
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3356
Country : US
Telephone Number : 952-200-3403
Fax Number : 612-999-1943
Provider Business Practice Location Address
First Line : 6545 FLYING CLOUD DR STE 201
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3356
Country : US
Telephone Number : 952-224-1919
Fax Number : 612-999-1943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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