Provider Demographics
NPI:1346023793
Name:GOLIK, ERIKA IZABEL (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:IZABEL
Last Name:GOLIK
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 CARLISLE AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08620-1244
Mailing Address - Country:US
Mailing Address - Phone:609-510-9622
Mailing Address - Fax:
Practice Address - Street 1:4136 W TILGHMAN ST APT 5
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4428
Practice Address - Country:US
Practice Address - Phone:484-822-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01134900225X00000X
PAOC019333225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist