Provider Demographics
NPI:1992285779
Name:DORSTEN, ERIN (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:DORSTEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 CHICORY CT
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-3103
Mailing Address - Country:US
Mailing Address - Phone:567-644-8493
Mailing Address - Fax:
Practice Address - Street 1:1026 CHICORY CT
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-3103
Practice Address - Country:US
Practice Address - Phone:567-644-8493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017774225100000X
MN13309225100000X
SC9256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist