Organization
VIVA THERAPY SERVICES
Active
Organization
VIVA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA PACHECO OTR/L (OWNER)
(305) 890-9691
Entity
Organization
Contact information
Practice address
454 NW 22ND AVE STE 108, MIAMI, FL 33125-3355
(305) 890-9691
(305) 647-6127
Mailing address
60 NW 37TH AVE APT 501, MIAMI, FL 33125-4834
(305) 890-9691
(305) 647-6127
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT5689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015358300
—
FL
Enumeration date
05/08/2015
Last updated
08/19/2020
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