Provider Demographics
NPI:1689052714
Name:EARICH, ABBEY CLAIRE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:ABBEY
Middle Name:CLAIRE
Last Name:EARICH
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 1:7021 EASTHAM CIR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1010
Mailing Address - Country:US
Mailing Address - Phone:330-605-6398
Mailing Address - Fax:
Practice Address - Street 1:7021 EASTHAM CIR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1010
Practice Address - Country:US
Practice Address - Phone:330-605-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0035122255A2300X
OHAT0059182255A2300X
CT14862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer