Provider Demographics
NPI:1962503169
Name:BOOKER, ERIN E (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:BOOKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 BLACKWOOD AVE
Mailing Address - Street 2:STE 170
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761
Mailing Address - Country:US
Mailing Address - Phone:407-295-8890
Mailing Address - Fax:407-295-8876
Practice Address - Street 1:1151 BLACKWOOD AVE
Practice Address - Street 2:STE 170
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4519
Practice Address - Country:US
Practice Address - Phone:407-295-8890
Practice Address - Fax:407-295-8876
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 20400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist