Individual
ERICA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
30 HOLLY AVE, SHALIMAR, FL 32579-1158
(850) 651-2635
Mailing address
2034 SUNSET PINE WAY, GULF BREEZE, FL 32563-9774
(205) 585-7654
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA28370
FL
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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