Provider Demographics
NPI:1396268710
Name:ERICA ASTRINO
Entity type:Organization
Organization Name:ERICA ASTRINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTRINO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:405-408-4044
Mailing Address - Street 1:909 HEATHER LN
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2542
Mailing Address - Country:US
Mailing Address - Phone:405-408-4044
Mailing Address - Fax:
Practice Address - Street 1:351 N AIR DEPOT BLVD STE Q
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-1760
Practice Address - Country:US
Practice Address - Phone:405-408-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation