Individual
ERIN ELIZABETH FOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3951
Mailing address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205923
VA
225100000X
Physical Therapist
27370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11515030
CAQH
NY
Enumeration date
10/04/2006
Last updated
06/03/2009
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