Provider Demographics
NPI:1780055772
Name:SURDEY, ERIN LYNN (DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:SURDEY
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:PO BOX 493396
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-3396
Mailing Address - Country:US
Mailing Address - Phone:530-221-9952
Mailing Address - Fax:530-221-9910
Practice Address - Street 1:1528 PLUMAS CT
Practice Address - Street 2:SUITE 200
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-2972
Practice Address - Country:US
Practice Address - Phone:530-434-6256
Practice Address - Fax:530-822-0898
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT43140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist