Provider Demographics
NPI:1972768034
Name:STANLEY, ERIN COURTNEY (PT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:COURTNEY
Last Name:STANLEY
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:PO BOX 10837
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-0837
Mailing Address - Country:US
Mailing Address - Phone:602-547-1961
Mailing Address - Fax:602-547-1189
Practice Address - Street 1:5620 W THUNDERBIRD RD
Practice Address - Street 2:STE G-3
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4636
Practice Address - Country:US
Practice Address - Phone:602-938-2422
Practice Address - Fax:602-938-2565
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8172225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ8172OtherPT