Provider Demographics
NPI:1629261771
Name:HARPER, ERIN (MA, OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 PLACITA DE ORO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-1530
Mailing Address - Country:US
Mailing Address - Phone:310-403-5015
Mailing Address - Fax:
Practice Address - Street 1:610 ALTA VISTA STREET
Practice Address - Street 2:SANTA FE PUBLIC SCHOOLS
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87108-1473
Practice Address - Country:US
Practice Address - Phone:310-403-5015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0716225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist