Provider Demographics
NPI:1275998346
Name:NEWMAN, ERIK (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4640
Mailing Address - Country:US
Mailing Address - Phone:916-412-4340
Mailing Address - Fax:
Practice Address - Street 1:2551 WHITMAN ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4640
Practice Address - Country:US
Practice Address - Phone:916-412-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist