Provider Demographics
NPI:1932141314
Name:ROSSO, ERIN KRISTEN (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KRISTEN
Last Name:ROSSO
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 1:2701 SE OTIS CORLEY DR STE 11
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3991
Mailing Address - Country:US
Mailing Address - Phone:479-235-2545
Mailing Address - Fax:479-235-2549
Practice Address - Street 1:2701 SE OTIS CORLEY DR STE 11
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3991
Practice Address - Country:US
Practice Address - Phone:479-235-2545
Practice Address - Fax:479-235-2549
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2025-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007502225100000X
CA35255225100000X
CO8295225100000X
AR5767225100000X
MI5501015825225100000X
FL37027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist