Individual
ERICA NICOLE WADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2020 W LAKE PARKER DR, LAKELAND, FL 33805-5005
(863) 682-7580
Mailing address
2020 W LAKE PARKER DR, LAKELAND, FL 33805-5005
(863) 682-7580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25481
FL
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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