Provider Demographics
NPI:1831965524
Name:SMITH, ERIN ANNA (DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ANNA
Last Name:SMITH
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 1:11007 MANKLIN CREEK RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-4012
Mailing Address - Country:US
Mailing Address - Phone:410-208-3300
Mailing Address - Fax:
Practice Address - Street 1:11007 MANKLIN CREEK RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-4012
Practice Address - Country:US
Practice Address - Phone:410-208-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist