Provider Demographics
NPI:1316218951
Name:LODWIG, ERIKA MARTINES PERKINS (ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MARTINES PERKINS
Last Name:LODWIG
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MARTINES
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, LAT
Mailing Address - Street 1:1121 E LAKEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2816
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7350 SANDLAKE COMMONS BLVD
Practice Address - Street 2:#3315
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8040
Practice Address - Country:US
Practice Address - Phone:407-354-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL28752255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer