Provider Demographics
NPI:1134368749
Name:BROWN, ERIN LYNN (DPT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LYNN
Last Name:BROWN
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 1:2200 AGNEW RD
Mailing Address - Street 2:APT 105
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1502
Mailing Address - Country:US
Mailing Address - Phone:352-225-1015
Mailing Address - Fax:
Practice Address - Street 1:50 GREAT OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1381
Practice Address - Country:US
Practice Address - Phone:408-361-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist