Provider Demographics
NPI:1134108046
Name:MOREAU, ERIN C (OT CLT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:C
Last Name:MOREAU
Suffix:
Gender:F
Credentials:OT CLT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:C
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1344 N CENTER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2796
Mailing Address - Country:US
Mailing Address - Phone:828-322-7007
Mailing Address - Fax:828-327-6006
Practice Address - Street 1:1344 N CENTER ST
Practice Address - Street 2:SUITE B
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2796
Practice Address - Country:US
Practice Address - Phone:828-322-7007
Practice Address - Fax:828-327-6006
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC806059OtherPARTNERS MEDICARE
NC03245OtherMEDCOST
NC136U5OtherBCBS
NC7432688OtherAETNA
NC136U5OtherBCBS