Healthcare Provider Details

I. General information

NPI: 1629474200
Provider Name (Legal Business Name): ERIN DEAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FALLON AVE
SEAFORD DE
19973-1577
US

IV. Provider business mailing address

106 MILFORD ST STE 601
SALISBURY MD
21804-6938
US

V. Phone/Fax

Practice location:
  • Phone: 302-536-1774
  • Fax: 302-536-7096
Mailing address:
  • Phone: 410-548-7600
  • Fax: 410-548-2651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0003235
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: