Provider Demographics
NPI:1629307285
Name:ADAMS, ERIN RUEST (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:RUEST
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 TIERRA BLANCA AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-6899
Mailing Address - Country:US
Mailing Address - Phone:301-266-8982
Mailing Address - Fax:
Practice Address - Street 1:2800 S SHIRLINGTON RD
Practice Address - Street 2:SUITE 510
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3601
Practice Address - Country:US
Practice Address - Phone:703-933-0038
Practice Address - Fax:703-933-0199
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23093225100000X
VA2305207265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist