Provider Demographics
NPI:1073577706
Name:MILMAN, ERIC (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:MILMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:MILMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2162 SILAS DEANE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067
Mailing Address - Country:US
Mailing Address - Phone:860-513-1431
Mailing Address - Fax:860-529-0126
Practice Address - Street 1:2162 SILAS DEANE HIGHWAY
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067
Practice Address - Country:US
Practice Address - Phone:860-513-1431
Practice Address - Fax:860-529-0126
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007849225100000X
CT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C03572Medicare UPIN