Provider Demographics
NPI:1013189190
Name:WALLS, ERIN BALMFORD (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:BALMFORD
Last Name:WALLS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 COMMERCE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2565
Mailing Address - Country:US
Mailing Address - Phone:410-692-9180
Mailing Address - Fax:410-692-9750
Practice Address - Street 1:3718 NORRISVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1419
Practice Address - Country:US
Practice Address - Phone:410-692-9180
Practice Address - Fax:410-692-9750
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist