Provider Demographics
NPI:1558699876
Name:FLANN, ERIN MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:FLANN
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 1:200 3RD ST E
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:MN
Mailing Address - Zip Code:56175-1525
Mailing Address - Country:US
Mailing Address - Phone:507-629-9060
Mailing Address - Fax:
Practice Address - Street 1:1401 NWAKAMA ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-5529
Practice Address - Country:US
Practice Address - Phone:507-929-7696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7482225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist