Provider Demographics
NPI:1407468861
Name:NELSON, HELEN ERICA (PT-DPT)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ERICA
Last Name:NELSON
Suffix:
Gender:F
Credentials:PT-DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6181 SW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6204
Mailing Address - Country:US
Mailing Address - Phone:786-247-5730
Mailing Address - Fax:
Practice Address - Street 1:6181 SW 49TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6204
Practice Address - Country:US
Practice Address - Phone:786-247-5730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL35265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35265OtherFLORIDA BOARD OF PHYSICAL THERAPY