Provider Demographics
NPI:1811106016
Name:BLANKENSHIP, ERIN S (MOTR/L)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:S
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:MOTR/L
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 244
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-0244
Mailing Address - Country:US
Mailing Address - Phone:304-923-9400
Mailing Address - Fax:304-520-4541
Practice Address - Street 1:112 J D PARK RD
Practice Address - Street 2:SUITE #1
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-9034
Practice Address - Country:US
Practice Address - Phone:304-647-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1426225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics