Victa, Stephanie Jean

Victa, Stephanie Jean is an sole proprietor health care provider with primary practice located at 1507 19Th Ave N , Lake Worth FL 33460-6063. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Victa, Stephanie Jean can be contacted via phone (561) 628-6412.

Contact Information

Primary practice address
1507 19Th Ave N Lake Worth FL 33460-6063
Phone: (561) 628-6412
Fax: (561) 588-9583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 30142 Florida

Profile Details

NPI number 1922165570
LBN Legal business name Victa, Stephanie Jean
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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