Provider Demographics
NPI:1659891976
Name:MCGOVERN, ERIN (ATC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCGOVERN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1116
Mailing Address - Country:US
Mailing Address - Phone:508-655-4431
Mailing Address - Fax:
Practice Address - Street 1:TOWSON SPORTS MEDICINE 8322 BELLONA AVE
Practice Address - Street 2:SUITE NUMBER 100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-337-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20000292042255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer