Individual provider · Type 1 NPI

Sally Ericksen, OT

Occupational Therapist · Orange Park, FL

NPI number 1750475083 Active

Practice location

540 Kingsley Ave
Orange Park, FL 32073-4847

Mailing address

2194 Lakeside Dr E
Fernandina Beach, FL 32034-5232

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT77 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1750475083

Sally Ericksen, OT's National Provider Identifier is 1750475083, issued on Oct 3, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Orange Park, FL. The record was last updated on Jul 8, 2007.