Provider Demographics
NPI:1376963322
Name:STERNLOF, ERIKA ANNE (PTA)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:ANNE
Last Name:STERNLOF
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S CANAAN RD
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06018-2502
Mailing Address - Country:US
Mailing Address - Phone:860-824-3844
Mailing Address - Fax:860-824-4162
Practice Address - Street 1:99 S CANAAN RD
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06018-2502
Practice Address - Country:US
Practice Address - Phone:860-824-3844
Practice Address - Fax:860-824-4162
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9405225200000X
CT1230225200000X
MEPA4581225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant