Provider Demographics
NPI:1215260823
Name:CHADBURN, ERIN SACHI (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:SACHI
Last Name:CHADBURN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:SACHI
Other - Last Name:HONDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:123 BJUNE DR SE STE 111
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2459
Mailing Address - Country:US
Mailing Address - Phone:206-319-1546
Mailing Address - Fax:206-842-5206
Practice Address - Street 1:727 ERICKSEN AVE NE STE 210
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1882
Practice Address - Country:US
Practice Address - Phone:206-319-1546
Practice Address - Fax:855-859-1546
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60103919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist