Basic Information
Provider Information
NPI: 1326353830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIOCCA
FirstName: ERIN
MiddleName: LOIS
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8670 WOLFF COURT
Address2: BAYADA HOME HEALTH CARE BUILING 8, SUITE 115
City: WESTMINSTER
State: CO
PostalCode: 80031
CountryCode: US
TelephoneNumber: 3036501700
FaxNumber: 3036501706
Practice Location
Address1: 8670 WOLFF COURT
Address2: BAYADA HOME HEALTH CARE BUILING 8, SUITE 115
City: WESTMINSTER
State: CO
PostalCode: 80031
CountryCode: US
TelephoneNumber: 3036501700
FaxNumber: 3036501706
Other Information
ProviderEnumerationDate: 08/10/2010
LastUpdateDate: 10/09/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251G0304X1819COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics

No ID Information.


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