Healthcare Provider Details

I. General information

NPI: 1134249337
Provider Name (Legal Business Name): ERIN C SYKORA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 E AURORA RD SUITE 7
MACEDONIA OH
44056-2732
US

IV. Provider business mailing address

746 E AURORA RD SUITE 7
MACEDONIA OH
44056-2732
US

V. Phone/Fax

Practice location:
  • Phone: 330-908-0039
  • Fax: 330-908-0211
Mailing address:
  • Phone: 330-908-0039
  • Fax: 330-908-0211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT012920
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: