Provider Demographics
NPI:1851817951
Name:WINSLOW, ERICA MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MARIE
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11648 COMMUNITY CENTER DR APT 113
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1055
Mailing Address - Country:US
Mailing Address - Phone:303-908-0500
Mailing Address - Fax:
Practice Address - Street 1:11648 COMMUNITY CENTER DR APT 113
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1055
Practice Address - Country:US
Practice Address - Phone:303-908-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CO7544225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program