Herrera, Ivelisse
Herrera, Ivelisse is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Herrera, Ivelisse can be contacted via phone (386) 755-3016.Contact Information
Primary practice address
619 S Marion Ave
Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-0013258 | Florida |
Profile Details
| NPI number | 1578675906 |
|---|---|
| LBN Legal business name | Herrera, Ivelisse |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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