Provider Demographics
NPI:1407507684
Name:CHAMBERLAIN, ERICA ANGELINA (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ANGELINA
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 SW SYLVAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1752
Mailing Address - Country:US
Mailing Address - Phone:408-577-7752
Mailing Address - Fax:
Practice Address - Street 1:3823 DELRIDGE WAY SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1133
Practice Address - Country:US
Practice Address - Phone:206-301-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist