Provider Demographics
NPI:1841964558
Name:BRIGGS, ERIKA RAE (OTR/L)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:RAE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:RAE
Other - Last Name:NORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 W BEATON DR STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-2653
Mailing Address - Country:US
Mailing Address - Phone:701-205-4194
Mailing Address - Fax:701-504-9044
Practice Address - Street 1:102 W BEATON DR STE 105
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-2653
Practice Address - Country:US
Practice Address - Phone:701-205-4194
Practice Address - Fax:701-504-9044
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND981225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist