Provider Demographics
NPI:1063846111
Name:PARK, ERIN ANN (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ANN
Last Name:PARK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:BRITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1916 S CAROLINA ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2106
Mailing Address - Country:US
Mailing Address - Phone:806-655-6824
Mailing Address - Fax:806-655-6823
Practice Address - Street 1:1916 S CAROLINA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2106
Practice Address - Country:US
Practice Address - Phone:806-655-6824
Practice Address - Fax:806-655-6823
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1231755225100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation