Provider Demographics
NPI:1912204298
Name:ADAMS, ERIN JUNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:JUNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 WILLISTON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6082
Mailing Address - Country:US
Mailing Address - Phone:802-658-6092
Mailing Address - Fax:802-863-9565
Practice Address - Street 1:3000 WILLISTON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6082
Practice Address - Country:US
Practice Address - Phone:802-658-6092
Practice Address - Fax:802-863-9565
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT 26489OtherFLORIDA LICENSURE
VT040-0098190OtherVERMONT STATE LICENSE