Provider Demographics
NPI:1235395708
Name:HEBERT, SARIKA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SARIKA
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 CREEK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7234
Mailing Address - Country:US
Mailing Address - Phone:214-682-1802
Mailing Address - Fax:
Practice Address - Street 1:5850 OHIO DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7096
Practice Address - Country:US
Practice Address - Phone:972-668-5257
Practice Address - Fax:972-668-5257
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105076225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105076OtherOTR