Provider Demographics
NPI:1093126880
Name:ERIKA J DEMAREST OTR
Entity Type:Organization
Organization Name:ERIKA J DEMAREST OTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEMAREST
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:561-315-4333
Mailing Address - Street 1:102 GIBRALTAR ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1148
Mailing Address - Country:US
Mailing Address - Phone:561-315-4333
Mailing Address - Fax:561-784-9580
Practice Address - Street 1:102 GIBRALTAR ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1148
Practice Address - Country:US
Practice Address - Phone:561-315-4333
Practice Address - Fax:561-784-9580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10846225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty