Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 11013 | MN |
NPI | 1013425420 |
---|---|
Provider Name | Erika Nielsen |
First Address | Minneapolis, MN 55407-1321 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2018 |
Last Update Date | 02/04/2020 |