-- JERICKSON CU -- Pt
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1407287105- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Pt
- Status
- Active
Contact & Location
- Address
- 10 W 1ST NORTH ST, MESQUITE, NV, 890274741
- Phone
- (702) 327-1281
Specialties & Taxonomies
Physical Therapist
Primary License: UT #8681691-2401