Provider Demographics
NPI:1821270687
Name:LEAHY, ERIN ABIGAIL (DPT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ABIGAIL
Last Name:LEAHY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 OCEANPORT AVENUE
Mailing Address - Street 2:BLDG 2
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1221
Mailing Address - Country:US
Mailing Address - Phone:732-758-0002
Mailing Address - Fax:732-219-0979
Practice Address - Street 1:116 OCEANPORT AVENUE
Practice Address - Street 2:BLDG 2
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1221
Practice Address - Country:US
Practice Address - Phone:732-758-0002
Practice Address - Fax:732-219-0979
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01264400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist