Individual
MRS. CHRISTINA VICTORIA TOKICS LACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
437 WEST ARDICE AVE, SUITE 481, EUSTIS, FL 32726
(352) 516-0724
(352) 771-2527
Mailing address
17405 LAKEVIEW CT, UMATILLA, FL 32784-8379
(352) 516-0724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 28522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009954000
—
FL
Enumeration date
11/01/2013
Last updated
06/09/2022
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