Provider Demographics
NPI:1699041756
Name:CUNNINGHAM, ERIN DAVIS (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DAVIS
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:ALEXANDRA
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2052 CORTE DEL NOGAL STE 160
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1464
Mailing Address - Country:US
Mailing Address - Phone:760-804-1700
Mailing Address - Fax:760-804-1780
Practice Address - Street 1:2052 CORTE DEL NOGAL STE 160
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1464
Practice Address - Country:US
Practice Address - Phone:760-804-1700
Practice Address - Fax:760-804-1780
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist