Healthcare Provider Details
I. General information
NPI: 1750129334
Provider Name (Legal Business Name): ERIN MARIE ART OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 CHILDRENS DR
COLUMBUS OH
43205-2664
US
IV. Provider business mailing address
PO BOX 283
LEWIS CENTER OH
43035-0283
US
V. Phone/Fax
- Phone: 614-722-2000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | OT012683 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: