| Doctor Name: | MS. ERIN KATHLEEN WIMER |
| NPI Number: | 1417190224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT, DPT |
| License Number: | 16859 |
| Business Practice Address: | 731 Lacey Rd Forked River, NJ - 087311364 |
| Business Phone Number: | 6092426750 |
| Business Fax Number: | 6092426783 |
| Mailing Address: | 4175 Veterans Memorial Hwy, Suite 202 RONKONKOMA |
| State: | NY |
| Postal Code: | 117797639 |
| Phone Number: | 6315805200 |
| Fax Number: | 6315805222 |
| NPI Enumeration Date: | 04/08/2009 |
| NPI Last Update Date: | 05/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 16859 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |