Individual
YARA BACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4172 LAKE TAHOE CIR, WEST PALM BEACH, FL 33409-7877
(224) 200-8962
Mailing address
4172 LAKE TAHOE CIR, WEST PALM BEACH, FL 33409-7877
(224) 200-8962
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
35156
FL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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