Provider Demographics
NPI:1306175674
Name:ERICKSON, BRIDGET COTTET (MS, OTR)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:COTTET
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EAST CARR ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:IN
Mailing Address - Zip Code:47031
Mailing Address - Country:US
Mailing Address - Phone:812-654-8817
Mailing Address - Fax:
Practice Address - Street 1:601 EAST CARR ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:IN
Practice Address - Zip Code:47031
Practice Address - Country:US
Practice Address - Phone:812-432-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003759A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist