Provider Demographics
NPI:1740367754
Name:LOUGHMAN, ERIC (PT)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:LOUGHMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3532
Mailing Address - Country:US
Mailing Address - Phone:631-482-1344
Mailing Address - Fax:631-482-1345
Practice Address - Street 1:124 E MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3532
Practice Address - Country:US
Practice Address - Phone:631-482-1344
Practice Address - Fax:631-482-1345
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist