Provider Demographics
NPI:1386086874
Name:POWER, ERIN VERONICA GALVIN (MSPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:VERONICA GALVIN
Last Name:POWER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 MOULTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-1226
Mailing Address - Country:US
Mailing Address - Phone:978-468-0189
Mailing Address - Fax:
Practice Address - Street 1:258 MOULTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-1226
Practice Address - Country:US
Practice Address - Phone:978-468-0189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11085225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist