Provider Demographics
NPI:1386079697
Name:NORTH, ERIKA N (COTA)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:N
Last Name:NORTH
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MISS
Other - First Name:ERIKA
Other - Middle Name:N
Other - Last Name:STAMBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:2975 FORREST LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3833
Mailing Address - Country:US
Mailing Address - Phone:813-380-2327
Mailing Address - Fax:
Practice Address - Street 1:2975 FORREST LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3833
Practice Address - Country:US
Practice Address - Phone:813-380-2327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007674224Z00000X
FLOPA12666224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant