MEDICARE: ERICA GARRISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	2024036219	MO

General Provider Information

NPI Number	:	1952254328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA GARRISON

Provider Business Mailing Address
First Line	:	6100 E OREAR RD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-8284
Country	:	US
Telephone Number	:	573-808-1869
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N KEENE ST
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8143
Country	:	US
Telephone Number	:	573-884-7769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ ERICA GARRISON ” Practice Location

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