Provider Demographics
NPI:1346584521
Name:RATLIFF, ERRICK L (OT)
Entity Type:Individual
Prefix:
First Name:ERRICK
Middle Name:L
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:L
Other - Last Name:RATLIFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-991-2034
Mailing Address - Fax:
Practice Address - Street 1:1901 N AMBURN RD
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2488
Practice Address - Country:US
Practice Address - Phone:409-933-1687
Practice Address - Fax:409-933-1687
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112739225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist