Provider Demographics
NPI:1023214665
Name:REITER, ERICA (OTRMA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:REITER
Suffix:
Gender:F
Credentials:OTRMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 N 5TH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:MT
Mailing Address - Zip Code:59037-9030
Mailing Address - Country:US
Mailing Address - Phone:406-696-2480
Mailing Address - Fax:
Practice Address - Street 1:1823 N 5TH RD
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:MT
Practice Address - Zip Code:59037-9030
Practice Address - Country:US
Practice Address - Phone:406-696-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1012225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist