Provider Demographics
NPI:1629357157
Name:FIAKOS, ERIN LYN (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LYN
Last Name:FIAKOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:LYN
Other - Last Name:DONALDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:81 CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7557
Mailing Address - Country:US
Mailing Address - Phone:203-500-3641
Mailing Address - Fax:
Practice Address - Street 1:56 PARTRIDGE DR
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-4017
Practice Address - Country:US
Practice Address - Phone:631-278-0665
Practice Address - Fax:631-619-6680
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0009139225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist