Provider Demographics
NPI:1689708075
Name:CIMADOR, ERICA MARIE (PT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:MARIE
Last Name:CIMADOR
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:MARIE
Other - Last Name:GOODRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:405 W PEARL ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4200
Mailing Address - Country:US
Mailing Address - Phone:412-874-3562
Mailing Address - Fax:
Practice Address - Street 1:200 RENAISSANCE DR STE 103
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-7612
Practice Address - Country:US
Practice Address - Phone:412-874-3562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007730L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist