Provider Demographics
NPI:1760616106
Name:BITCON, ERIN MANE
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MANE
Last Name:BITCON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:MANE
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23560 CRENSHAW BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5233
Mailing Address - Country:US
Mailing Address - Phone:310-784-3212
Mailing Address - Fax:310-517-0889
Practice Address - Street 1:23560 CRENSHAW BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5233
Practice Address - Country:US
Practice Address - Phone:310-784-3212
Practice Address - Fax:310-517-0889
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 32380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist