Provider Demographics
NPI:1770113771
Name:RECTOR, ERIKA DAWN (COTA/L)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:DAWN
Last Name:RECTOR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474071 E 700 RD
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-6138
Mailing Address - Country:US
Mailing Address - Phone:918-575-3870
Mailing Address - Fax:
Practice Address - Street 1:2300 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-1625
Practice Address - Country:US
Practice Address - Phone:918-371-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2155224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant