Provider Demographics
NPI:1669220091
Name:MCDAVID, SARIKA MARIE (OTR)
Entity type:Individual
Prefix:
First Name:SARIKA
Middle Name:MARIE
Last Name:MCDAVID
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 1:2407 TOPSAIL ISLAND WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2159
Mailing Address - Country:US
Mailing Address - Phone:407-910-3198
Mailing Address - Fax:
Practice Address - Street 1:2407 TOPSAIL ISLAND WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2159
Practice Address - Country:US
Practice Address - Phone:407-910-3198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25278225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist