| NPI | 1457963803 |
|---|---|
| Former Name | ERIN ELIZABETH STATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872640) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-09-07 |