Provider Demographics
NPI:1619440500
Name:PERRIN, ERIKA DANIELLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:DANIELLE
Last Name:PERRIN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BIRDSEYE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2489
Mailing Address - Country:US
Mailing Address - Phone:860-231-8482
Mailing Address - Fax:860-231-8791
Practice Address - Street 1:10 BIRDSEYE ROAD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-231-8482
Practice Address - Fax:860-231-8791
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist