Provider Demographics
NPI:1780959916
Name:DEPINET, ERICA SUZANNE (OT)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:SUZANNE
Last Name:DEPINET
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:SUZANNE
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:455 WEST FOURTH ST.
Mailing Address - Street 2:SUITE 010
Mailing Address - City:FOSTERIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830
Mailing Address - Country:US
Mailing Address - Phone:419-436-8320
Mailing Address - Fax:419-436-8325
Practice Address - Street 1:455 WEST FOURTH ST.
Practice Address - Street 2:SUITE 010
Practice Address - City:FOSTERIA
Practice Address - State:OH
Practice Address - Zip Code:44830
Practice Address - Country:US
Practice Address - Phone:419-436-8320
Practice Address - Fax:419-436-8325
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007720225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation