Provider Demographics
NPI:1487773248
Name:HARMON, ERIN CORDELIA (ATC)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CORDELIA
Last Name:HARMON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11314 ETHAN ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2436
Mailing Address - Country:US
Mailing Address - Phone:501-551-0007
Mailing Address - Fax:501-228-6404
Practice Address - Street 1:8821 KNOEDL CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4600
Practice Address - Country:US
Practice Address - Phone:501-228-6303
Practice Address - Fax:501-228-6404
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer