Provider Demographics
NPI:1790985489
Name:ROWE, ERIKA JACKSON (PT/ATC)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:JACKSON
Last Name:ROWE
Suffix:
Gender:F
Credentials:PT/ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 YORKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-2648
Mailing Address - Country:US
Mailing Address - Phone:843-777-6357
Mailing Address - Fax:843-777-8165
Practice Address - Street 1:901 E CHEVES ST STE 510
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2773
Practice Address - Country:US
Practice Address - Phone:843-777-6357
Practice Address - Fax:843-777-8165
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41102251S0007X
SC2542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer