Provider Demographics
NPI:1912182551
Name:CARDINALE, ERIKA (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:CARDINALE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:C
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:17 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NEWFIELDS
Mailing Address - State:NH
Mailing Address - Zip Code:03856-8319
Mailing Address - Country:US
Mailing Address - Phone:978-578-3691
Mailing Address - Fax:
Practice Address - Street 1:17 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NEWFIELDS
Practice Address - State:NH
Practice Address - Zip Code:03856-8319
Practice Address - Country:US
Practice Address - Phone:978-578-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2699225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty