Provider Demographics
NPI:1457393886
Name:SLUDER, ERIN D (PTA)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:D
Last Name:SLUDER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762A E GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5017
Mailing Address - Country:US
Mailing Address - Phone:334-501-2290
Mailing Address - Fax:334-501-2293
Practice Address - Street 1:762A E GLENN AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5017
Practice Address - Country:US
Practice Address - Phone:334-501-2290
Practice Address - Fax:334-501-2293
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20078224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant