Provider Demographics
NPI:1033555420
Name:SYKORA, ERIN LEE (OT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEE
Last Name:SYKORA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 WALNUT ST E
Mailing Address - Street 2:SUITE #7
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-3411
Mailing Address - Country:US
Mailing Address - Phone:701-665-2140
Mailing Address - Fax:
Practice Address - Street 1:1820 WALNUT ST E
Practice Address - Street 2:SUITE #7
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-3411
Practice Address - Country:US
Practice Address - Phone:701-665-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health