Provider Demographics
NPI:1134676455
Name:LOTHIAN, ERIN E (DPT, PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:LOTHIAN
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:186 SUMMER ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1282
Practice Address - Country:US
Practice Address - Phone:781-585-8588
Practice Address - Fax:781-585-1276
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110119181AMedicaid