| Victoria Aba Theraphy | |
|
1408 N Killian Dr Ste 107a Lake Park FL 33403-1960 | |
| (786) 447-4586 | |
| Not Available |
| Full Name | Victoria Aba Theraphy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1408 N Killian Dr Ste 107a, Lake Park, Florida |
| Authorized Official Name and Position | Leonaidis Carrasco Perez (OWNER) |
| Authorized Official Contact | 7864474586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Aba Theraphy 1408 N Killian Dr Ste 107a Lake Park FL 33403-1960 Ph: () - | Victoria Aba Theraphy 1408 N Killian Dr Ste 107a Lake Park FL 33403-1960 Ph: (786) 447-4586 |
| NPI Number | 1518686963 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518686963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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