Provider Demographics
NPI:1770634636
Name:ARVIZU, ERIKA (OTR)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ARVIZU
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 W PLANO PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5333
Mailing Address - Country:US
Mailing Address - Phone:682-472-6042
Mailing Address - Fax:888-211-3808
Practice Address - Street 1:4708 W PLANO PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5333
Practice Address - Country:US
Practice Address - Phone:682-472-6042
Practice Address - Fax:888-211-3808
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106592225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T5385OtherBCBS
TX612327OtherMEDICARE