Provider Demographics
NPI:1902532278
Name:ADAMS, ERIN MCCANN (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MCCANN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BRANDON CIR
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-3200
Mailing Address - Country:US
Mailing Address - Phone:917-658-1506
Mailing Address - Fax:
Practice Address - Street 1:4 BRANDON CIR
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3200
Practice Address - Country:US
Practice Address - Phone:917-658-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009632225100000X
NY020863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist