Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 05004393A | IN |
NPI | 1134253990 |
---|---|
Provider Name | Mr. Erin Richard Barill |
First Address | Brownsburg, IN 46112-8184 |
Second Address | Indianapolis, IN 46254-9725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |