Individual
SAMANTHA ERISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1395 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4400
(321) 986-8812
Mailing address
1395 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4400
(321) 986-8812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29019
FL
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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