Healthcare Provider Details

I. General information

NPI: 1376407130
Provider Name (Legal Business Name): ERIN PUTNAM DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WELSH RD STE 100
HORSHAM PA
19044-2248
US

IV. Provider business mailing address

300 WELSH RD STE 100
HORSHAM PA
19044-2248
US

V. Phone/Fax

Practice location:
  • Phone: 866-839-6979
  • Fax:
Mailing address:
  • Phone: 866-839-6979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number031603
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: