Healthcare Provider Details

I. General information

NPI: 1437370210
Provider Name (Legal Business Name): ERIN ELIZABETH TULLAR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 DARTMOUTH COLLEGE HIGHWAY
NORTH HAVERHILL NH
03774
US

IV. Provider business mailing address

54 BROWN HILL RD
BELMONT NH
03220
US

V. Phone/Fax

Practice location:
  • Phone: 603-787-6971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3051
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: