Provider Demographics
NPI:1639329451
Name:BELL, ERIN BROOKE (PTA)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:BROOKE
Last Name:BELL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 STAFFORD SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5559
Mailing Address - Country:US
Mailing Address - Phone:713-823-1372
Mailing Address - Fax:
Practice Address - Street 1:602 STAFFORD SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5559
Practice Address - Country:US
Practice Address - Phone:713-823-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2060673225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant