Provider Demographics
NPI:1609212422
Name:MCGOWAN, ERIN LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 FALL CREEK CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:NC
Mailing Address - Zip Code:27208-9214
Mailing Address - Country:US
Mailing Address - Phone:919-548-6012
Mailing Address - Fax:
Practice Address - Street 1:413 FALL CREEK CHURCH RD
Practice Address - Street 2:
Practice Address - City:BENNETT
Practice Address - State:NC
Practice Address - Zip Code:27208-9214
Practice Address - Country:US
Practice Address - Phone:919-548-6012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist