Provider Demographics
NPI:1063055457
Name:MAKKAS, ERIKA COELHO (PT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:COELHO
Last Name:MAKKAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6078 CLAUDIAS LN APT 101
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-7190
Mailing Address - Country:US
Mailing Address - Phone:781-901-1887
Mailing Address - Fax:
Practice Address - Street 1:1605 WESTBROOK PLAZA DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2900
Practice Address - Country:US
Practice Address - Phone:336-760-3634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist