Provider Demographics
NPI:1811504467
Name:MCDAVITT, ERIN (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCDAVITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-0253
Mailing Address - Country:US
Mailing Address - Phone:603-249-3337
Mailing Address - Fax:603-249-3387
Practice Address - Street 1:199 ROUTE 101 UNIT 5B
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1735
Practice Address - Country:US
Practice Address - Phone:603-249-3337
Practice Address - Fax:603-249-3387
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist