Provider Demographics
NPI:1619123361
Name:DIAL, ERIN C (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:C
Last Name:DIAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:C
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1406 E HOUSTON ST
Mailing Address - Street 2:D
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5346
Mailing Address - Country:US
Mailing Address - Phone:361-542-4652
Mailing Address - Fax:361-542-4653
Practice Address - Street 1:1406 E HOUSTON ST
Practice Address - Street 2:D
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5346
Practice Address - Country:US
Practice Address - Phone:361-542-4652
Practice Address - Fax:361-542-4653
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1181756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist