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MS. IVIS M CARRERA VALDES

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1801161666

Individual Registrant:
MS. IVIS M CARRERA VALDES 
Gender: F
Sole Proprietor

Location and contact information for practice:
1501 S PINELLAS AVE STE P  TARPON SPRINGS, FL 34689-1952 US
Tel: 727-547-3692  Fax: --

Contact information for business:
2005 THRACE ST  TAMPA, FL 33605-6353 US
Tel: 813-562-4391  Fax: --

Registration Information:
NPI: 1801161666
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
FLIMH19960

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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