Provider Demographics
NPI:1144482027
Name:ALVAREZ, ERIKA (PT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 19TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-5305
Mailing Address - Country:US
Mailing Address - Phone:772-299-4892
Mailing Address - Fax:772-077-0416
Practice Address - Street 1:1150 19TH AVE SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-5305
Practice Address - Country:US
Practice Address - Phone:772-299-4892
Practice Address - Fax:772-770-4168
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 16549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist