Provider Demographics
NPI:1578874566
Name:STROUP, ERIN LEIGH (OT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LEIGH
Last Name:STROUP
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 BREVARD ROAD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3221
Mailing Address - Country:US
Mailing Address - Phone:828-698-4818
Mailing Address - Fax:828-698-4819
Practice Address - Street 1:1620 BREVARD ROAD
Practice Address - Street 2:SUITE 40
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3221
Practice Address - Country:US
Practice Address - Phone:828-698-4818
Practice Address - Fax:828-698-4819
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6030225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist