MEDICARE: ERIKA JANE BARCELONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1310267	TX

General Provider Information

NPI Number	:	1013642941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA JANE BARCELONA

Provider Business Mailing Address
First Line	:	13406 HICKORY SPRINGS LN
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-6546
Country	:	US
Telephone Number	:	832-348-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 N 118TH ST STE 200
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-3620
Country	:	US
Telephone Number	:	402-509-5532
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2022
Last Update Date	:	07/24/2022

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Directions to “ ERIKA JANE BARCELONA ” Practice Location

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