Provider Demographics
NPI:1538517503
Name:ERDMAN, ERIN (OTRL)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ERDMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:COHOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5756
Mailing Address - Country:US
Mailing Address - Phone:989-895-2035
Mailing Address - Fax:989-895-2083
Practice Address - Street 1:1200 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5756
Practice Address - Country:US
Practice Address - Phone:989-895-2035
Practice Address - Fax:989-895-2083
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201007028225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist