Provider Demographics
NPI:1821814096
Name:OSBORN, ERIKA ALEXIS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ALEXIS
Last Name:OSBORN
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 1:5812 28TH ST E UNIT 201
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-7382
Mailing Address - Country:US
Mailing Address - Phone:631-745-6786
Mailing Address - Fax:
Practice Address - Street 1:8175 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-8669
Practice Address - Country:US
Practice Address - Phone:941-721-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist