Provider Demographics
NPI:1104362748
Name:ERLENBUSH, VERONICA ROSE (DPT)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:ROSE
Last Name:ERLENBUSH
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 1:3845 PARKHILL DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7557
Mailing Address - Country:US
Mailing Address - Phone:406-860-1064
Mailing Address - Fax:
Practice Address - Street 1:3845 PARKHILL DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7557
Practice Address - Country:US
Practice Address - Phone:406-860-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist