Basic Information
Provider Information
NPI: 1043523871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: ERIN
MiddleName: GREINER
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6202 RIVER CT
Address2:  
City: BRENTWOOD
State: TN
PostalCode: 370274942
CountryCode: US
TelephoneNumber: 1415310285
FaxNumber:  
Practice Location
Address1: 747 52ND ST
Address2:  
City: OAKLAND
State: CA
PostalCode: 946091809
CountryCode: US
TelephoneNumber: 8007876787
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/21/2010
LastUpdateDate: 10/01/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X9185CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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