Provider Demographics
NPI:1437877784
Name:TRUMBACH, ERIN TAYLOR (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TAYLOR
Last Name:TRUMBACH
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 1:3017 CYPRESS VIEW LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-0445
Mailing Address - Country:US
Mailing Address - Phone:985-201-4012
Mailing Address - Fax:
Practice Address - Street 1:2455 N NOBILE ST
Practice Address - Street 2:
Practice Address - City:PAULINA
Practice Address - State:LA
Practice Address - Zip Code:70763-2528
Practice Address - Country:US
Practice Address - Phone:504-343-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA112502251X0800X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic