Provider Demographics
NPI:1790419471
Name:ERRO, TAYLAN ANNE
Entity Type:Individual
Prefix:
First Name:TAYLAN
Middle Name:ANNE
Last Name:ERRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-232 KAHUHIPA ST APT C105
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3928
Mailing Address - Country:US
Mailing Address - Phone:661-623-3859
Mailing Address - Fax:
Practice Address - Street 1:642 MEAKANU LN APT 2004
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2944
Practice Address - Country:US
Practice Address - Phone:808-707-0266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5468261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy