Provider Demographics
NPI:1336104801
Name:PATTON, ERIN RENEE (OTR)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE
Last Name:PATTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4348 HUNTINGTON RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-9070
Mailing Address - Country:US
Mailing Address - Phone:812-568-7455
Mailing Address - Fax:
Practice Address - Street 1:3800 ELI PL
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7436
Practice Address - Country:US
Practice Address - Phone:812-858-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003911A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist