Healthcare Provider Details

I. General information

NPI: 1669089181
Provider Name (Legal Business Name): ERIN N SCHALLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 FURNACE HILLS PIKE
LITITZ PA
17543-7954
US

IV. Provider business mailing address

500 ROSEDALE AVE
LANCASTER PA
17603-9808
US

V. Phone/Fax

Practice location:
  • Phone: 570-856-7107
  • Fax:
Mailing address:
  • Phone: 570-856-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT023429
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: