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Individual

ERICA PICKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
316 SALLY LEE DR, ELLENTON, FL 34222-2024
(941) 993-8315
Mailing address
316 SALLY LEE DR, ELLENTON, FL 34222-2024
(941) 993-8315

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24912
FL

Other

Enumeration date
05/22/2016
Last updated
05/22/2016
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