Provider Demographics
NPI:1316461684
Name:ERWIN, CARA MICHELLE (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:MICHELLE
Last Name:ERWIN
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:MICHELLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8749 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2702
Mailing Address - Country:US
Mailing Address - Phone:903-806-8191
Mailing Address - Fax:
Practice Address - Street 1:2278 ALBERT PIKE RD STE B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4157
Practice Address - Country:US
Practice Address - Phone:501-767-0808
Practice Address - Fax:501-767-0832
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1294076225100000X
AR4764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4764OtherPROFESSIONAL LICENSE