Provider Demographics
NPI:1891854881
Name:ST DENIS, ERIN LEE (OTR L)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LEE
Last Name:ST DENIS
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 EAST 101ST STREET
Mailing Address - Street 2:CYAS
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-791-8118
Mailing Address - Fax:216-791-1101
Practice Address - Street 1:1909 EAST 101ST STREET
Practice Address - Street 2:CYAS
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-791-8118
Practice Address - Fax:216-791-1101
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003889225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist