Provider Demographics
NPI:1275902835
Name:LECORPS, APSARAH
Entity Type:Individual
Prefix:
First Name:APSARAH
Middle Name:
Last Name:LECORPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 LANTANA RD
Mailing Address - Street 2:APT 401
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2491
Mailing Address - Country:US
Mailing Address - Phone:954-839-4344
Mailing Address - Fax:
Practice Address - Street 1:2746 LANTANA RD APT 401
Practice Address - Street 2:APT 401
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462-2491
Practice Address - Country:US
Practice Address - Phone:954-839-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist