Healthcare Provider Details

I. General information

NPI: 1104069285
Provider Name (Legal Business Name): ERIN K PARRILL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 04/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12580 NATIONAL PIKE
GRANTSVILLE MD
21536
US

IV. Provider business mailing address

500 MARKET ST SUITE 103
BEAVER PA
15009-2998
US

V. Phone/Fax

Practice location:
  • Phone: 301-895-5793
  • Fax: 301-895-5795
Mailing address:
  • Phone: 724-728-7550
  • Fax: 724-728-6648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number22391
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: