Erika Lynn Midock, COTA, CLT

Occupational Therapy Assistant · Savannah, GA

Individual Active NPI

NPI number 1114691045

Practice location

1170 Shawnee St
Savannah, GA 31419-1618
Phone
(912) 920-0214

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NPI record

NPI
1114691045
Entity type
Individual (Type 1)
Enumeration date
August 4, 2021
Last updated
August 4, 2021
Certified
August 4, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X OTA001823 GA

Mailing address

423 Scuffletown Rd
Guyton, GA 31312-6540
Phone
(304) 904-3464

About Erika Midock

Erika Lynn Midock, COTA, CLT is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1170 Shawnee St, Savannah, GA 31419-1618. The NPI number 1114691045 was assigned on August 4, 2021 and the record was last updated on August 4, 2021.

Erika Midock lists a license in the registry: #OTA001823 (GA) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Erika Lynn Midock, COTA, CLT?

The NPI number is 1114691045.

What is the phone number of Erika Midock?

The phone number listed for the practice location is (912) 920-0214.

Where is Erika Midock located?

1170 Shawnee St, Savannah, GA 31419-1618.

What is the taxonomy code for Erika Midock?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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