Individual
ERICA WALDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4050 NEW YORK AVE APT 1802, FAIR OAKS, CA 95628-7343
(916) 807-9757
Mailing address
4050 NEW YORK AVE APT 1802, FAIR OAKS, CA 95628-7343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2517
CA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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