Provider Demographics
NPI:1861069437
Name:HAIRSTON, ERIKA BRIANA (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:BRIANA
Last Name:HAIRSTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 LYNX LN UNIT 434
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2491
Mailing Address - Country:US
Mailing Address - Phone:301-437-1193
Mailing Address - Fax:
Practice Address - Street 1:3042 MITCHELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1388
Practice Address - Country:US
Practice Address - Phone:240-206-9784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09272225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist