Provider Demographics
NPI:1780848895
Name:UPTON, ERIN A (OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:A
Last Name:UPTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 TURTLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2385
Mailing Address - Country:US
Mailing Address - Phone:603-234-9886
Mailing Address - Fax:
Practice Address - Street 1:68 TURTLE ROCK RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2385
Practice Address - Country:US
Practice Address - Phone:603-234-9886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1114225X00000X
MA5873225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist