Provider Demographics
NPI:1285836999
Name:CORNELL, ERIN RAWLING (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RAWLING
Last Name:CORNELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:LEIGH
Other - Last Name:RAWLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:608 NORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3708
Mailing Address - Country:US
Mailing Address - Phone:615-695-1432
Mailing Address - Fax:615-695-1483
Practice Address - Street 1:608 NORRIS AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3708
Practice Address - Country:US
Practice Address - Phone:615-695-1432
Practice Address - Fax:615-695-1483
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4943225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41043100Medicaid
WIP00882931OtherRR MEDICARE
TNQ016905Medicaid
TNQ016905Medicaid
WI41043100Medicaid
WI01994-0073Medicare PIN