Individual
FABIOLA SORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E MAIN ST STE A, LEXINGTON, SC 29072-3449
(803) 704-4759
Mailing address
16842 STATE HIGHWAY 215 S # 112, WINNSBORO, SC 29180-7355
(210) 385-7923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120547
TX
225X00000X
Occupational Therapist
6518
SC
Other
Enumeration date
02/07/2020
Last updated
07/18/2022
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