Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1437511763 |
---|---|
Provider Name | Erika Abbad |
First Address | Orlando, FL 32826-3960 |
Second Address | Orlando, FL 32826-3960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 25/03/2016 |