MEDICARE: DR. BLAKE ERIN TOBIN DPT

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
1	225100000X	Physical Therapist	014381	CT

General Provider Information

NPI Number	:	1992541361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BLAKE ERIN TOBIN DPT

Provider Business Mailing Address
First Line	:	253 W RIVER ST APT 11
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06461-2695
Country	:	US
Telephone Number	:	475-988-3084
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 COMMERCE PARK STE D
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3513
Country	:	US
Telephone Number	:	203-882-9384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	01/20/2026

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