Provider Demographics
NPI:1659852515
Name:PARAZO, ERICA ELENA (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ELENA
Last Name:PARAZO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17423 EMERALD CANYON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5633
Mailing Address - Country:US
Mailing Address - Phone:407-455-3534
Mailing Address - Fax:
Practice Address - Street 1:2600 SW MILITARY DR STE 206
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1045
Practice Address - Country:US
Practice Address - Phone:210-922-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT33938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist