Provider Demographics
NPI:1659615524
Name:PALEN, ERIN ELIZABETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ELIZABETH
Last Name:PALEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:FAANES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:722 ROBINWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-4718
Mailing Address - Country:US
Mailing Address - Phone:763-639-8774
Mailing Address - Fax:
Practice Address - Street 1:3050 CENTRE POINTE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1102
Practice Address - Country:US
Practice Address - Phone:651-631-4242
Practice Address - Fax:651-631-4260
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist