Individual
ERIKA HOMIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
512 S 11TH ST, LAKE WALES, FL 33853-4901
(863) 676-8502
Mailing address
337 GLADESDALE ST, HAINES CITY, FL 33844-6793
(912) 492-3463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30905
FL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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