Individual
ERICA CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16300 ROSCOE BLVD STE A1, VAN NUYS, CA 91406-1246
(818) 893-4426
Mailing address
3255 EMERALD AVE, SIMI VALLEY, CA 93063-2139
(805) 813-5909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51976
CA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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