Provider Demographics
NPI:1255794277
Name:DONAGHY, ERIN MODE (DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MODE
Last Name:DONAGHY
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 1:1402 HOSPITAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6659
Mailing Address - Country:US
Mailing Address - Phone:910-762-1130
Mailing Address - Fax:910-762-1131
Practice Address - Street 1:1402 HOSPITAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6659
Practice Address - Country:US
Practice Address - Phone:910-762-1130
Practice Address - Fax:910-762-1131
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15995225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist