Provider Demographics
NPI:1386035186
Name:CAREY, ERIN LEE (ATC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LEE
Last Name:CAREY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 CALIFORNIA RD
Mailing Address - Street 2:APT. 832
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9385
Mailing Address - Country:US
Mailing Address - Phone:906-282-0186
Mailing Address - Fax:
Practice Address - Street 1:249 CALIFORNIA RD
Practice Address - Street 2:APT. 832
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9385
Practice Address - Country:US
Practice Address - Phone:906-282-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-15
Last Update Date:2015-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0059682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer