Provider Demographics
NPI:1992122055
Name:ANDREWS, ERICA (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 DRUID RD E APT 201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-4054
Mailing Address - Country:US
Mailing Address - Phone:727-644-6719
Mailing Address - Fax:
Practice Address - Street 1:1121 DRUID RD E APT 201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4054
Practice Address - Country:US
Practice Address - Phone:727-644-6719
Practice Address - Fax:727-644-6719
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA13008224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant