Provider Demographics
NPI:1427368166
Name:ALLEN, ERIN BLAIR (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BLAIR
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 W COMMERCIAL ST
Mailing Address - Street 2:SUITE 2795
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2407
Mailing Address - Country:US
Mailing Address - Phone:585-487-3552
Mailing Address - Fax:585-487-3576
Practice Address - Street 1:349 W COMMERCIAL ST
Practice Address - Street 2:SUITE 2795
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2407
Practice Address - Country:US
Practice Address - Phone:585-487-3552
Practice Address - Fax:585-487-3576
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02698-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist