Provider Demographics
NPI:1639394018
Name:MANN, ERICA L (DPT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:L
Last Name:MANN
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:MONARCH SCHOOL OF NEW ENGLAND
Mailing Address - Street 2:105 EASTERN AVE
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03866
Mailing Address - Country:US
Mailing Address - Phone:207-247-3216
Mailing Address - Fax:207-247-3217
Practice Address - Street 1:MONARCH SCHOOL OF NEW ENGLAND
Practice Address - Street 2:105 EASTERN AVE
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03866
Practice Address - Country:US
Practice Address - Phone:207-247-3216
Practice Address - Fax:207-247-3217
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3008225100000X
NHNH3511225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist