Individual
ERICA AL-KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 VAMO RD, SARASOTA, FL 34231-7811
(941) 966-5611
Mailing address
89 SANTA FE ST, PORT CHARLOTTE, FL 33953-1312
(941) 467-5853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29774
FL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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