Provider Demographics
NPI:1447466974
Name:FITZPATRICK, ERIN MARGARET (PT)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:MARGARET
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:MARGARET
Other - Last Name:WASNICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2430 EAST BOSTON STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125
Mailing Address - Country:US
Mailing Address - Phone:856-906-5267
Mailing Address - Fax:
Practice Address - Street 1:12265 TOWNSEND RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-1201
Practice Address - Country:US
Practice Address - Phone:215-671-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01102500225100000X
CAPT 30031225100000X
PAPT017147225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist