Provider Demographics
NPI:1457578973
Name:MANCHESTER, ERIN (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:MANCHESTER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1245
Mailing Address - Country:US
Mailing Address - Phone:401-523-6949
Mailing Address - Fax:
Practice Address - Street 1:1145 RESERVOIR AVE STE 210
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6000
Practice Address - Country:US
Practice Address - Phone:401-523-6949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00722225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist