Individual
INNA REVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8368 VIA SERENA, BOCA RATON, FL 33433
(773) 719-9024
Mailing address
8368 VIA SERENA, BOCA RATON, FL 33433-2235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6748
FL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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