Provider Demographics
NPI:1568613859
Name:MUNOZ, ERIN R (PT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:R
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:DEVELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1276 SEACLIFF CT UNIT 3
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6021
Mailing Address - Country:US
Mailing Address - Phone:805-650-0901
Mailing Address - Fax:
Practice Address - Street 1:1276 SEACLIFF CT UNIT 3
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6021
Practice Address - Country:US
Practice Address - Phone:805-650-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27098225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist