Ericson, Laura J

Ericson, Laura J is an individual health care provider with primary practice located at 540 E Jefferson Street Ste. 302, Iowa City IA 52245. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ericson, Laura J can be contacted via phone (319) 339-3611.

Contact Information

Primary practice address
540 E Jefferson Street Ste. 302 Iowa City IA 52245
Phone: (319) 339-3611
Fax: (319) 339-3878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1093 North Dakota

Profile Details

NPI number 1215167457
LBN Legal business name Ericson, Laura J
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2009
Last updated Aug 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215167457 NPPES
Iowa MEDICAID 06-65463

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