Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1229030 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251P0200X | Physical Therapist - Pediatrics | 1229030 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 2305205289 | VA |
NPI | 1043488802 |
---|---|
Provider Name | Erin Clifton |
First Address | Keller, TX 76248-3876 |
Second Address | Keller, TX 76248-3876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2008 |
Last Update Date | 16/09/2021 |