Healthcare Provider Details

I. General information

NPI: 1013642941
Provider Name (Legal Business Name): ERIKA JANE BARCELONA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2022
Last Update Date: 07/24/2022
Certification Date: 07/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 N 118TH ST STE 200
OMAHA NE
68164-3620
US

IV. Provider business mailing address

13406 HICKORY SPRINGS LN
PEARLAND TX
77584-6546
US

V. Phone/Fax

Practice location:
  • Phone: 402-509-5532
  • Fax:
Mailing address:
  • Phone: 832-348-0330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1310267
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: