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NPI Code Detail

MEDICARE: ERIN WHITAKER P.T.

MEDICARE: ERIN WHITAKER P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist22183CA

General Provider Information

NPI Number : 1306036728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WHITAKER P.T.
Provider Business Mailing Address
First Line : 16950 VIA TAZON
Second Line : SHARP REES-STEALY RANCHO BERNARDO
City : SAN DIEGO
State : CA
Zip : 92127-1607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16950 VIA TAZON
Second Line : SHARP REES-STEALY RANCHO BERNARDO
City : SAN DIEGO
State : CA
Zip : 92127-1607
Country : US
Telephone Number : 858-521-2265
Fax Number : 858-521-2016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 08/01/2007

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