MEDICARE: MRS. ERIN HEATHER DAMREN LSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	2864	NH

General Provider Information

NPI Number	:	1578857710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN HEATHER DAMREN LSW-C

Provider Business Mailing Address
First Line	:	919 NH ROUTE 10
Second Line	:
City	:	CROYDON
State	:	NH
Zip	:	03773-6104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 NH ROUTE 10
Second Line	:
City	:	CROYDON
State	:	NH
Zip	:	03773-6104
Country	:	US
Telephone Number	:	207-504-2507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	12/13/2025

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