Provider Demographics
NPI:1962986984
Name:BECK, ERIN ASHLEY (COTA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ASHLEY
Last Name:BECK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 FM 471 N
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-2801
Mailing Address - Country:US
Mailing Address - Phone:210-784-0944
Mailing Address - Fax:
Practice Address - Street 1:3002 AVENUE Q
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-3422
Practice Address - Country:US
Practice Address - Phone:830-426-3056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211726224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant